RAYUS Radiology
Insurance Specialist
RAYUS Radiology, Scarborough, Maine, us, 04074
Job Summary
RAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for an Insurance Specialistto 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 provide 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.
ESSENTIAL DUTIES AND RESPONSIBILITIES :
(65%) Insurance Administration
Prioritizes work load to ensure all patients are contacted prior to their exam and those with largest responsibility to pay are given highest priorityDetermines if patient's insurance is a part of the provider networkMakes outgoing calls to insurance companies for pre-certification or any authorizationReceives pre-authorization from patients and/or insurance companies and documentsContacts patient and referring offices using HIPAA guidelines prior to scheduled exam when additional insurance information is neededAccurately enters a variety of information including date schedule requests received, patient name, referring physician and procedures into computer systemMaintains positive interactions with referring offices, patients and staffBacks up front desk reception and scheduling area as needed(30%) Price Quotes
Completes payor-related information i.e., payor, payor class, date of appointmentObtains all workers compensation approvals from insurance companies prior to scheduled examObtains signs and symptoms in order to support medical necessity(5%) Completes other duties as assigned
Requirements
Required:
High school diploma or equivalent1-2 years previous health care experience working with a variety of health insurance plans for pre-certification and authorization of benefit coveragePrior experience with managed care and physician office schedulingMicrosoft Office Suite ExperienceProficient with using computer systems and typingPreferred:
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.
RAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for an Insurance Specialistto 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 provide 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.
ESSENTIAL DUTIES AND RESPONSIBILITIES :
(65%) Insurance Administration
Prioritizes work load to ensure all patients are contacted prior to their exam and those with largest responsibility to pay are given highest priorityDetermines if patient's insurance is a part of the provider networkMakes outgoing calls to insurance companies for pre-certification or any authorizationReceives pre-authorization from patients and/or insurance companies and documentsContacts patient and referring offices using HIPAA guidelines prior to scheduled exam when additional insurance information is neededAccurately enters a variety of information including date schedule requests received, patient name, referring physician and procedures into computer systemMaintains positive interactions with referring offices, patients and staffBacks up front desk reception and scheduling area as needed(30%) Price Quotes
Completes payor-related information i.e., payor, payor class, date of appointmentObtains all workers compensation approvals from insurance companies prior to scheduled examObtains signs and symptoms in order to support medical necessity(5%) Completes other duties as assigned
Requirements
Required:
High school diploma or equivalent1-2 years previous health care experience working with a variety of health insurance plans for pre-certification and authorization of benefit coveragePrior experience with managed care and physician office schedulingMicrosoft Office Suite ExperienceProficient with using computer systems and typingPreferred:
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.