Job Summary
RAYUS now offers DailyPay! Work today, get paid today!
RAYUS Radiology is looking for an Insurance Specialist to join our team. 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
