Insurance Specialist at RAYUS Radiology

Boynton Beach, Florida, United States -

Full Time

Start Date

Immediate

Expiry Date

12 Jun, 26

Salary

0.0

Posted On

14 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Pre-certification, Authorization, HIPAA Guidelines, Data Entry, Provider Network Verification, Medical Necessity Support, Workers Compensation Approvals, Scheduling, Customer Interaction, Microsoft Office Suite

Industry

Hospitals and Health Care

Description

RAYUS now offers DailyPay! Work today, get paid today! RAYUS Radiology is looking for an Insurance Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together As an Insurance Specialist, you will provide expertise in insurance pre-certification and authorization of services. This is a full-time position working 40 hours per week. Shifts are from 9:00am-5:30pm or 9:30am-6:00pm. ESSENTIAL DUTIES AND RESPONSIBILITIES: (65%) Insurance Administration * Prioritizes work load to ensure all patients are contacted prior to their exam and those with largest responsibility to pay are given highest priority * Determines if patient's insurance is a part of the provider network * Makes outgoing calls to insurance companies for pre-certification or any authorization * Receives pre-authorization from patients and/or insurance companies and documents * Contacts patient and referring offices using HIPAA guidelines prior to scheduled exam when additional insurance information is needed * Accurately enters a variety of information including date schedule requests received, patient name, referring physician and procedures into computer system * Maintains positive interactions with referring offices, patients and staff * Backs up front desk reception and scheduling area as needed (30%) Price Quotes * Completes payor-related information i.e., payor, payor class, date of appointment * Obtains all workers compensation approvals from insurance companies prior to scheduled exam * Obtains signs and symptoms in order to support medical necessity (5%) Completes other duties as assigned Qualifications Required: * High school diploma or equivalent * 1-2 years previous health care experience working with a variety of health insurance plans for pre-certification and authorization of benefit coverage * Prior experience with managed care and physician office scheduling * Microsoft Office Suite Experience * Proficient with using computer systems and typing Preferred: * Bilingual RAYUS is committed to delivering clinical excellence in communities across the U.S., driven by our passion for and superior service to referring providers and patients. RAYUS Radiology is built on our brilliant medicine, brilliant team, brilliant technology and services - all to provide the highest level of patient care possible. We bring brilliance to health and wellness. Join our team and shine the light on Radiology Services! RAYUS Radiology is an EO Employer/Vets/Disabled. We offer benefits (based on eligibility) including medical, dental and vision insurance, 401k with company match, life and disability insurance, tuition reimbursement, adoption assistance, pet insurance, PTO and holiday pay and many more! Visit our career page to see them all www.rayusradiology.com/careers [http://www.rayusradiology.com/careers]. Machine generated alternative text: DAILYPAY AVAILABLE dailypay. Apply today! DailyPay implementation is contingent upon initial set-up period.

Responsibilities

The Insurance Specialist primarily handles insurance administration, which involves prioritizing workloads, verifying provider networks, making calls for pre-certification and authorization, and accurately entering patient and procedure information into the computer system. A secondary duty involves completing price quotes by obtaining necessary payor information and supporting medical necessity documentation.