Insurance Specialist

RAYUS Radiology; Portland (OR); On-site; USD 45,000 - 65,000; 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 is seeking an Insurance Specialist to handle pre-certification and authorization, contacting insurance providers and patients to verify coverage. You will build relationships with referring physicians and patients while ensuring HIPAA compliance and accurate data entry.

This full-time role operates Monday through Friday, 7:00am–3:30pm. The ideal candidate has at least 1 year of healthcare payer experience, proficiency with Microsoft Office, and strong communication skills to

Qualifications

• High School Diploma or equivalent.
• 1 year of healthcare experience working with health insurance plans for pre-certification and authorization.
• Experience with managed care and physician office scheduling.
• Proficient with using computer systems and typing.

Responsibilities

• Prioritize workload to ensure patients are contacted before their exam and those with higher liability are prioritized.
• Determine if patient’s insurance is part of the provider network.
• Make outgoing calls to insurance for pre-certification or authorization.
• Receive pre-authorization from patients and/or insurance and document.
• Contact patients and referring offices under HIPAA guidelines for additional insurance information.
• Enter appointment requests, patient names, referring physicians and procedures into the system.
• Maintain positive interactions with referring offices, patients and staff.
• Back up front desk reception and scheduling as needed.
• Complete payor-related information (payor, payor class, appointment date).
• Obtain workers compensation approvals from insurers prior to scheduled exam.
• Document patient symptoms to support medical necessity.

Skills

Microsoft Office Suite

Typing

HIPAA compliance

Bilingual

Job description

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

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 is a Full-Time position working Monday through Friday, 7:00am-3:30pm.

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.

Benefits:

• medical, dental and vision insurance
• 401k with company match
• life and disability insurance
• tuition reimbursement
• adoption assistance
• pet insurance
• PTO and holiday pay
• many more!

Visit our career page to see them all www.rayusradiology.com/careers.

DailyPay implementation is contingent upon initial set-up period.