Insurance Specialist

RAYUS Radiology; Chelmsford (MA); On-site; USD 40,000 - 55,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401k with company match

Life and disability insurance

Tuition reimbursement

Adoption assistance

Pet insurance

PTO and holiday pay

Job summary

RAYUS Radiology in Chelmsford, MA is seeking an Insurance Specialist. This role involves managing pre-certification and authorization processes, ensuring patients are contacted promptly and maintaining relationships with referring physicians.

Candidate must possess a High School Diploma and have one year of healthcare experience with insurance plans. RAYUS offers benefits like medical, dental, life insurance, 401k, and more, making it a fulfilling opportunity within a supportive team.

Qualifications

• One year of healthcare experience working with insurance plans for pre-certification.
• Experience with managed care and physician office scheduling.
• Proficient in using computer systems and typing.

Responsibilities

• Prioritize workload for insurance pre-certification and authorization.
• Maintain positive relationships with referring offices and patients.
• Provide price quotes related to payor information.

Skills

Healthcare experience

Insurance authorization

Customer service

Computer proficiency

Bilingual

Education

High School Diploma or equivalent

Tools

Microsoft Office Suite

Job description

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

Benefits

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.

RAYUS Radiology is an EO Employer/Vets/Disabled.