Insurance Specialist

RAYUS Radiology•Arlington, VA

12h•$22 - $27

About The Position

RAYUS Radiology is seeking an Insurance Specialist to provide expertise in insurance pre-certification and authorization of services by contacting insurance companies and patients to verify insurance information. The role also develops and maintains positive relationships with referring physicians and patients. This is a full-time position working Monday through Friday during corporate hours. The Insurance Specialist prioritizes patient contacts before exams, determines whether insurance is in the provider network, obtains and documents pre-authorizations, and contacts patients and referring offices when additional insurance information is needed. The role also completes payer-related information and price quotes, obtains workers' compensation approvals, and gathers signs and symptoms to support medical necessity. The position may provide backup for front desk reception and scheduling. The pay range is $22.25–$27.00, based on direct and relevant experience. RAYUS offers benefits based on eligibility, including medical, dental and vision insurance, a 401(k) with company match, life and disability insurance, tuition reimbursement, adoption assistance, pet insurance, PTO and holiday pay. DailyPay is available, with implementation contingent on an initial setup period.

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.
Microsoft Office Suite experience.
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-authorization from patients and/or insurance companies.
Contact patients and referring offices, following HIPAA guidelines, before scheduled exams when additional insurance information is needed.
Accurately enter information into the computer system, including the date schedule requests are 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 payer-related information, including payer, payer 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.