Insurance Specialist

rayusexternalcareers; Town of Florida (NY); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

DailyPay

Health insurance

401k with company match

Job summary

RAYUS Radiology is seeking an Insurance Specialist to handle pre-certification and authorization of services. You will contact insurers and patients, verify coverage, and maintain strong relationships with referring physicians and patients.

This full-time role involves data entry, scheduling support, and ensuring HIPAA-compliant processes. The position requires a high school diploma and at least one year of healthcare insurance experience, plus proficiency with Microsoft Office and typing.

Qualifications

• High School diploma or equivalent required.
• Minimum 1 year healthcare experience with pre-certification/authorization.
• Experience with managed care and physician office scheduling.
• Proficient in Microsoft Office; able to type and use computer systems.
• Knowledge of HIPAA guidelines and patient privacy.

Responsibilities

• Perform insurance pre-certification and obtain authorizations by contacting insurers and patients.
• Enter scheduling and patient/referring physician data into the computer system accurately.
• Prioritize workload to ensure exams are scheduled with the highest patient responsibility first.
• Support front desk scheduling as needed and maintain positive relationships with referrers.

Skills

HIPAA compliance

Detail oriented

Education

High School Diploma or equivalent

Tools

Microsoft Office Suite

Job description

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

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.

This is a full-time position working 40 hours per week. Shifts are from 9:00AM-5:30PM.

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.

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.