Summary
Location
Chesterfield
Type
full-time
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About this role
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.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
(65%) Insurance Administration
- 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
(30%) Price Quotes
- 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
(5%) Completes other duties as assigned
Required:
- 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
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.
Other facts
About 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.
What you'll do
- The Insurance Specialist will manage insurance pre-certification and authorization by contacting insurance companies and patients. They will also maintain positive relationships with referring physicians and patients while ensuring accurate documentation and data entry.
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