Insurance Agency Professional

Insurance Specialist
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 be responsible for providing expertise in insurance pre-certification and authorization of services by calling insurance companies and patients to verify insurance information. Develops and maintains positive relationships with referring physicians and patients.
This position is full-time, working Monday - Friday 8:30am - 5:00pm.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Prioritize workload to ensure all patients are contacted prior to their exam and those with largest responsibility to pay are given highest priority
Determine if patient's insurance is a part of the provider network
Make outgoing calls to insurance companies for pre-certification or any authorization
Receives pre-authorization from patients and/or insurance companies and documents
Contact patient and referring offices using HIPAA guidelines prior to scheduled exam when additional insurance information is needed
Accurately enter a variety of information including date schedule requests received, patient name, referring physician and procedures into computer system
Maintain positive interactions with referring offices, patients and staff
Backup front desk reception and scheduling area as needed
Complete payor-related information, i.e., payor, payor class, date of appointment
Obtain all workers compensation approvals from insurance companies prior to scheduled exam
Obtain patient signs and symptoms in order to support medical necessity
(5%) Completes Other Duties and Projects as Assigned
Required:
High School Diploma, or equivalent
One (1) year of healthcare 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
DailyPay implementation is contingent upon initial set-up period.
RAYUS Radiology