Job Summary
RAYUS now offers DailyPay! Work today, get paid today!
RAYUS Radiology is looking for a Scheduling and Data Entry 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 a Scheduling and Data Entry Specialist, you will provide support to the companies' markets with order entry, scheduling and insurance pre-certification and authorization.
This is a temporary/PRN position working varied shifts.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
(45%) Scheduling
- Supports market(s) in scheduling of patient appointments as determined by team lead
- Answers phones and handles calls in a professional and timely manner
- Maintains positive interactions at all times with patients, referring offices and staff
- Schedule's patient examinations according to existing company and market policies
- Ensures all appropriate personal, financial and insurance information is obtained and recorded accurately
- Ensures all patient data is entered into information systems completely and accurately
- Ensures patients are advised of appointment preps, financial responsibilities, and online information
- Communicates to technologists any scheduling changes in order to ensure highest patient satisfaction
- Maintains up to date and accurate database on all current and potential referring physicians
- Obtains and enters new referring physician information in computer system database and passes along to market for follow up.
- Enters documents received via electronic format (fax to scan) into RIS system within a timely fashion
(40%) Pre-Certification and Authorization
- Supports market(s) in insurance pre-certification and authorization as determined by team lead
- Determines if patients' insurance is part of the provider network
- Makes outgoing calls to insurance companies for pre-certification or any authorization
- Utilizes payer websites to obtain prior authorization
- Contact's patients and referring offices using HIPAA guidelines prior to scheduled exam when additional insurance information is needed
- Verifies insurance eligibility
- Uses knowledge of insurance carriers and procedures that require waivers to obtain authorization if needed prior to appointment
(10%) Resource to Operations Improvement Department
- Pulls reports/information, reviews and publishes data to facilitate timely communication with the Operations Improvement team
- Assists in identifying improvement opportunities that can provide a positive impact to operations
- Provides assistance in various projects in coordination with other Operations Improvement staff
(5%) Completes other tasks as assigned
