Radiology Insurance Pro – Preauth & Auths (Daytime)

RAYUS Radiology; Portland (OR); Vor Ort; USD 45.000 - 65.000; Vollzeit

Benefits dieser Stelle

Medical, dental and vision insurance

401k with company match

Life and disability insurance

Tuition reimbursement

Adoption assistance

Pet insurance

PTO and holiday pay

Zusammenfassung

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

Qualifikationen

• 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.

Aufgaben

• 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.

Kenntnisse

Microsoft Office Suite

Typing

HIPAA compliance

Bilingual

Jobbeschreibung

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