Insurance Specialist

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

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401k with company match

Life Insurance

Disability Insurance

Tuition Reimbursement

Adoption Assistance

PTO & Holidays

Job summary

RAYUS Radiology is seeking an Insurance Specialist for a per diem/temporary role in the United States. Expect to perform insurance pre-certification and authorization by contacting insurers and patients, and to maintain positive relations with referring physicians and patients.

The position requires at least 1 year of healthcare insurance experience, proficiency with Microsoft Office, and strong HIPAA compliance. Shifts vary and daily pay is available through DailyPay.

Qualifications

• Requires high school diploma and healthcare insurance experience for pre-certification and authorization.
• Proficiency with HIPAA guidelines and handling PHI.
• Experience with managed care and physician office scheduling is preferred.

Responsibilities

• Perform insurance pre-certification and authorization calls with insurers and patients.
• Enter patient and scheduling information accurately into computer systems.
• Maintain positive relationships with referring physicians, patients, and staff; backup front desk when needed.

Skills

Pre-certification & authorization

HIPAA compliance

Customer service

Attention to detail

Education

High School Diploma or equivalent

Tools

Microsoft Office Suite

Computer systems

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 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.

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. 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 www.rayusradiology.com/careers.

DailyPay implementation is contingent upon initial set-up period.