Insurance Specialist

RAYUS Radiology•Scarborough, ME

39d

About The Position

RAYUS now offers DailyPay! Work today, get paid today! RAYUS Radiology is looking for an Insurance Specialist to 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. This is a full-time position working 40 hours per week; shifts are 8:30am - 5:00pm.

Requirements

High school diploma or equivalent
1-2 years previous health care 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

Nice To Haves

Bilingual

Responsibilities

Prioritizes work load to ensure all patients are contacted prior to their exam and those with largest responsibility to pay are given highest priority
Determines if patient's insurance is a part of the provider network
Makes outgoing calls to insurance companies for pre-certification or any authorization
Receives pre-authorization from patients and/or insurance companies and documents
Contacts patient and referring offices using HIPAA guidelines prior to scheduled exam when additional insurance information is needed
Accurately enters a variety of information including date schedule requests received, patient name, referring physician and procedures into computer system
Maintains positive interactions with referring offices, patients and staff
Backs up front desk reception and scheduling area as needed
Completes payor-related information i.e., payor, payor class, date of appointment
Obtains all workers compensation approvals from insurance companies prior to scheduled exam
Obtains signs and symptoms in order to support medical necessity
Completes other duties as assigned