Insurance Specialist - PRN

RAYUS Radiology; Scarborough (ME); Remote; USD 28,000 - 33,000; Full time

Benefits offered by this job

DailyPay

PRN/Temporary shifts

Job summary

RAYUS Radiology is seeking an Insurance Specialist-PRN to join our team. This temporary/PRN role focuses on insurance pre-certification and authorization, contacting insurers and patients to verify coverage and ensure timely exam scheduling. The position supports referring physicians and patients under HIPAA guidelines.

The role is remote with variable shifts; compensation ranges from $20.00 to $24.00 per hour based on experience. Benefits include DailyPay and access to company resources.

Qualifications

• High School Diploma or equivalent required.
• At least 1 year of healthcare experience with pre-certification/authorization of benefits.
• Experience with managed care and physician office scheduling preferred.
• Microsoft Office Suite experience required.
• Proficient with using computer systems and typing.

Responsibilities

• Perform insurance pre-certification and authorization by contacting insurance companies and patients.
• Verify insurance information and determine provider network participation.
• Enter data accurately into the computer system and maintain HIPAA-compliant communications.
• Maintain positive relationships with referring physicians and patients.
• Back up front desk reception and scheduling as needed.

Skills

Healthcare experience

HIPAA knowledge

Communication

Data entry

Typing speed

Education

High School Diploma or equivalent

Tools

Microsoft Office

Job description

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

RAYUS Radiology is looking for an Insurance Specialist-PRN to join our team. We are challenging the status quo by shining light on radiologyand making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As an Insurance Specialist-PRN, you areresponsible 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 temporary/PRN position working varied shifts.

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

The pay range for this position is $20.00- $24.00 based on direct and relevant experience.

Remote Position

Yes

Status

Temporary/PRN

Requirements

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:

RAYUS is committedto 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.

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us via email at [e-mail].