Insurance Specialist

rayusexternalcareers; Chelmsford (MA); On-site; USD 25,000 - 39,000; Part time

Job summary

RAYUS Radiology is seeking an Insurance Specialist to verify coverage, obtain pre-certifications, and coordinate authorizations with insurers and patients. The role requires attention to HIPAA guidelines and strong data entry skills.

This temporary per diem position emphasizes accurate, timely communication with referring physicians and patients. The candidate should have healthcare insurance experience, proficiency with Microsoft Office, and the ability to manage multiple tasks in a fast-paced

Qualifications

• High School Diploma, or equivalent.
• One year of healthcare experience working with health insurance pre-certification and authorization.
• Experience with managed care and physician office scheduling.
• Microsoft Office Suite experience.
• Proficient with using computer systems and typing.

Responsibilities

• Prioritize workload to contact patients before exams and focus on the highest‑responsibility cases.
• Determine if patient insurance is part of the provider network.
• Make outbound calls to insurance companies for pre‑certification or authorization.
• Receive and document pre‑authorizations from patients and/or insurers.
• Contact patients and referring offices under HIPAA for additional insurance information.
• Enter data (dates, patient names, referring physicians, procedures) into the system.
• Maintain positive interactions with referring offices, patients, and staff.
• Backup front desk reception and scheduling as needed.
• Complete payor information and obtain workers' compensation approvals when required.
• Obtain patient signs and symptoms to support medical necessity.

Skills

Healthcare experience

Microsoft Office

Computer typing

Bilingual

Education

High School Diploma

Job description

RAYUS now offers DailyPay! Work today, get paid today!

The pay range for this position is $18.42 - $28.13 based on direct and relevant experience.

This is a per diem / temporary position; shifts will vary.

RAYUS Radiology is looking for anInsurance 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 beresponsible 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.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

(65%) Insurance Administration

• 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

(30%) Price Quotes

• 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. 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!

DailyPay implementation is contingent upon initial set-up period.