Insurance Specialist

RAYUS Radiology • Chelmsford, MA

5d

About The Position

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; day shifts.

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

Benefits

• medical, dental and vision insurance
• 401k with company match
• life and disability insurance
• tuition reimbursement
• adoption assistance
• pet insurance
• PTO and holiday pay

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees