Insurance Specialist: Pre-Cert & Authorization | DailyPay

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

Job summary

RAYUS Radiology is seeking an Insurance Specialist to verify coverage, obtain pre-certifications, and coordinate authorizations with insurers and patients. The role requires attention to HIPAA guidelines and strong data entry skills.

This temporary per diem position emphasizes accurate, timely communication with referring physicians and patients. The candidate should have healthcare insurance experience, proficiency with Microsoft Office, and the ability to manage multiple tasks in a fast-paced

Qualifications

• High School Diploma, or equivalent.
• One year of healthcare experience working with health insurance pre-certification and authorization.
• Experience with managed care and physician office scheduling.
• Microsoft Office Suite experience.
• Proficient with using computer systems and typing.

Responsibilities

• Prioritize workload to contact patients before exams and focus on the highest‑responsibility cases.
• Determine if patient insurance is part of the provider network.
• Make outbound calls to insurance companies for pre‑certification or authorization.
• Receive and document pre‑authorizations from patients and/or insurers.
• Contact patients and referring offices under HIPAA for additional insurance information.
• Enter data (dates, patient names, referring physicians, procedures) into the system.
• Maintain positive interactions with referring offices, patients, and staff.
• Backup front desk reception and scheduling as needed.
• Complete payor information and obtain workers' compensation approvals when required.
• Obtain patient signs and symptoms to support medical necessity.

Skills

Healthcare experience

Microsoft Office

Computer typing

Bilingual

Education

High School Diploma

Job description

RAYUS Radiology is seeking an Insurance Specialist to verify coverage, obtain pre-certifications, and coordinate authorizations with insurers and patients. The role requires attention to HIPAA guidelines and strong data entry skills.

This temporary per diem position emphasizes accurate, timely communication with referring physicians and patients. The candidate should have healthcare insurance experience, proficiency with Microsoft Office, and the ability to manage multiple tasks in a fast-paced