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Insurance Specialist

RAYUS Radiology

Posted 3 months ago

Full Time

Alexandria, Minnesota

In Person

Smart Summary

Responsibilities

Responsible for verifying insurance information and obtaining pre-certifications and authorizations for radiology services. Maintains positive relationships with patients and referring physicians while managing administrative documentation.

Qualifications

You have at least one year of experience working with various health insurance plans for pre-certification and benefit authorization. You are proficient with the Microsoft Office Suite and possess strong computer and typing skills. Experience with managed care and physician office scheduling is also required.

Must Have Skills for ATS

Pre-certification

Authorization of benefit coverage

Managed care

Physician office scheduling

Microsoft Office Suite

Job Description

RAYUS now offers DailyPay! Work today, get paid today!

The pay range for this position is $18.00-$22.31 based on direct and relevant experience. 

RAYUS Radiology is looking for an Insurance Specialist to join our team. As an Insurance Specialist, you will be responsible for providing 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 Monday-Friday from 8:30am-5:00pm. 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

(65%) Insurance Administration

  • Prioritize workload to ensure all patients are contacted prior to their exam and those with largest responsibility to pay are given highest priority
  • Determine if patient's insurance is a part of the provider network
  • Make outgoing calls to insurance companies for pre-certification or any authorization
  • Receives pre-authorization from patients and/or insurance companies and documents
  • Contact patient and referring offices using HIPAA guidelines prior to scheduled exam when additional insurance information is needed
  • Accurately enter a variety of information including date schedule requests received, patient name, referring physician and procedures into computer system
  • Maintain positive interactions with referring offices, patients and staff
  • Backup front desk reception and scheduling area as needed
(30%) Price Quotes
  • Complete payor-related information, i.e., payor, payor class, date of appointment
  • Obtain all workers compensation approvals from insurance companies prior to scheduled exam
  • Obtain patient signs and symptoms in order to support medical necessity
(5%) Completes Other Duties and Projects as Assigned Qualifications

Required:

  • High School Diploma, or equivalent
  • One (1) 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
  • Proficient with using computer systems and typing
Preferred:
  • Bilingual

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.

We offer benefits (based on eligibility) including medical, dental and vision insurance, 401k with company match, life and disability insurance, tuition reimbursement, adoption assistance, pet insurance, PTO and holiday pay and many more! Visit our career page to see them all www.rayusradiology.com/careers.

DailyPay implementation is contingent upon initial set-up period.

#LI-JH1

RAYUS Radiology

As a leading national subspecialty provider for advanced diagnostic and interventional radiology services, RAYUS RadiologyTM is challenging the status quo by shining the light on radiology and making it a critical first step in diagnosis and proper treatment. With more than 2,000 team members and over 400+ affiliated radiologists, we are committed to delivering clinical excellence in communities across the U.S., driven by our compassionate, safe, and cost-efficient care, and superior service to referring providers and patients. RAYUS Radiology is the premier provider of high-quality radiology services such as MRI, PET/CT scans, along with minimally invasive techniques like interventional and vascular services, plus injections and biopsies. This extensive range of services is offered through our growing national footprint with 140 centers and short- and long-term hospital partner solutions across all 50 states. We are currently involved in more than 150 clinical trial protocols. In addition, we acquire, manage, and distribute over 75 million images annually across modalities, putting us squarely at the forefront of the nation’s shift to personalized, targeted medicine. RAYUS Radiology is built on our brilliant medicine, brilliant team, brilliant technology and services—all to provide the highest level of patient care possible.
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