RAYUS Radiology
Insurance Specialist
RAYUS Radiology, Boynton Beach, Florida, United States, 33435
Job Summary
RAYUS now offers DailyPay! Work today, get paid today!
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. You will also develop and maintain positive relationships with referring physicians and patients.
This position is full-timeMonday-Friday, day shifts starting between 7:30am-9:00am based on what works best for you!
ESSENTIAL DUTIES AND RESPONSIBILITIES :
(65%) Insurance Administration
Prioritizes workload to ensure all patients are authorized prior to their examDetermines 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 staffObtains signs and symptoms in order to support medical necessityObtains all workers compensation approvals from insurance companies prior to scheduled examCompletes payor-related information i.e., payor, payor class, date of appointment(30%) Price Quotes
Verifies insurance eligibility and benefitsCalculate patients expected financial responsibilityNotify patients of expected financial responsibility(5%) Completes other duties as assigned
Requirements
Required:
High school diploma or equivalentPrior experience with managed care and physician office schedulingProficient with using computer systems and typingKnowledge of medical terminologyKnowledge of CPT and ICD-10 codingAbility to read and interpret physician notes, diagnosis and other clinical documentationAbility to multitaskAbility to focus and maintain direction in the tasks at hand under pressurePreferred:
1-2 years previous health care experience working with a variety of health insurance plans for pre-certification and authorization of benefit coverageBilingual
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.
#LI-SR1
RAYUS now offers DailyPay! Work today, get paid today!
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. You will also develop and maintain positive relationships with referring physicians and patients.
This position is full-timeMonday-Friday, day shifts starting between 7:30am-9:00am based on what works best for you!
ESSENTIAL DUTIES AND RESPONSIBILITIES :
(65%) Insurance Administration
Prioritizes workload to ensure all patients are authorized prior to their examDetermines 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 staffObtains signs and symptoms in order to support medical necessityObtains all workers compensation approvals from insurance companies prior to scheduled examCompletes payor-related information i.e., payor, payor class, date of appointment(30%) Price Quotes
Verifies insurance eligibility and benefitsCalculate patients expected financial responsibilityNotify patients of expected financial responsibility(5%) Completes other duties as assigned
Requirements
Required:
High school diploma or equivalentPrior experience with managed care and physician office schedulingProficient with using computer systems and typingKnowledge of medical terminologyKnowledge of CPT and ICD-10 codingAbility to read and interpret physician notes, diagnosis and other clinical documentationAbility to multitaskAbility to focus and maintain direction in the tasks at hand under pressurePreferred:
1-2 years previous health care experience working with a variety of health insurance plans for pre-certification and authorization of benefit coverageBilingual
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.
#LI-SR1