Insurance Specialist - PRN
About The Position
RAYUS Radiology is hiring an Insurance Specialist for a temporary, PRN position working varied shifts. The role provides expertise in insurance pre-certification and authorization of services by contacting insurance companies and patients to verify insurance information. The specialist develops and maintains positive relationships with referring physicians and patients. Responsibilities include insurance administration, obtaining price quotes and approvals, documenting information, and supporting front desk reception and scheduling as needed. The pay range is $20.00–$24.00, based on direct and relevant experience.
Requirements
- High school diploma or equivalent.
- One 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.
- Experience with Microsoft Office Suite.
- Proficiency using computer systems and typing.
Nice To Haves
- Bilingual.
Responsibilities
- Prioritize workload to contact patients before their exams, giving highest priority to patients with the largest responsibility to pay.
- Determine whether a patient's insurance is part of the provider network.
- Call insurance companies for pre-certification or authorization.
- Receive and document pre-authorizations from patients and/or insurance companies.
- Contact patients and referring offices, following HIPAA guidelines, when additional insurance information is needed before a scheduled exam.
- Enter information accurately into the computer system, including the date schedule requests were received, patient name, referring physician, and procedures.
- Maintain positive interactions with referring offices, patients, and staff.
- Provide backup for front desk reception and scheduling as needed.
- Complete payor-related information, including payor, payor class, and appointment date.
- Obtain workers' compensation approvals from insurance companies before scheduled exams.
- Obtain patient signs and symptoms to support medical necessity.
- Complete other duties and projects as assigned.
Benefits
- Medical, dental, and vision insurance, based on eligibility.
- 401(k) with company match, based on eligibility.
- Life and disability insurance, based on eligibility.
- Tuition reimbursement, based on eligibility.
- Adoption assistance, based on eligibility.
- Pet insurance, based on eligibility.
- PTO and holiday pay, based on eligibility.
- DailyPay; implementation is contingent upon an initial setup period.
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What This Job Offers
Career Level
Entry Level
Education Level
High school or GED
