Insurance Specialist

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RAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, 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 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 or 9:00am-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

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