Insurance Specialist – Pre-Cert & Authorization (DailyPay)

RAYUS Radiology; Arlington (VA); On-site; USD 42,000 - 55,000; Full time

Benefits offered by this job

DailyPay

Medical insurance

Dental insurance

Vision insurance

401k with company match

Tuition reimbursement

Adoption assistance

Pet insurance

Paid time off

Holiday pay

Job summary

RAYUS Radiology is seeking an Insurance Specialist to join our team. This full-time role focuses on insurance pre-certification and authorization of services by contacting insurers and patients to verify coverage.

Responsibilities include coordinating with referring physicians, entering data, and maintaining HIPAA-compliant communications with patients. Ideal candidates have at least one year of healthcare insurance experience and proficiency with Microsoft Office.

Qualifications

• High School Diploma or equivalent required.
• One year of healthcare experience with health insurance pre-certification.
• Experience with managed care and physician office scheduling.
• Proficient in Microsoft Office Suite.
• Typing proficiency and comfort with computer systems.

Responsibilities

• Prioritize workload to contact patients before exams based on financial responsibility.
• Verify whether patient insurance is in-network.
• Call insurance companies for pre-certifications or authorizations.
• Receive pre-authorization from patients or insurers and document.
• Contact patients and referring offices under HIPAA for missing insurance info.
• Enter appointment data and patient/referring physician details into the system.
• Maintain positive relationships with referring offices, patients, and staff.
• Backup front desk reception and scheduling as needed.
• Complete payor-related information (payor, class, appointment date).
• Obtain workers' compensation approvals from insurers before exams.
• Verify patient symptoms to support medical necessity.
• Completes other duties and projects as assigned.

Skills

Healthcare experience

Managed care

Microsoft Office

Typing

Education

High School Diploma

Job description

RAYUS Radiology is seeking an Insurance Specialist to join our team. This full-time role focuses on insurance pre-certification and authorization of services by contacting insurers and patients to verify coverage.

Responsibilities include coordinating with referring physicians, entering data, and maintaining HIPAA-compliant communications with patients. Ideal candidates have at least one year of healthcare insurance experience and proficiency with Microsoft Office.