Insurance Specialist

Insurance Specialist – Daily Pay

RAYUS Radiology invites an Insurance Specialist to provide expertise in insurance pre‑certification and authorization of services. The role ensures all patients are contacted prior to their exam, verifies insurance information, and maintains positive relationships with referring physicians and patients.

• 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 a patient's insurance is part of the provider network.
• Make outgoing calls to insurance companies for pre‑certification or any authorization.
• Receive pre‑authorization from patients and/or insurance companies and document.
• 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 the computer system.
• Maintain positive interactions with referring offices, patients and staff.
• Back up front desk reception and scheduling area as needed.
• Complete payor‑related information (payor, payor class, date of appointment).
• Obtain all workers compensation approvals from insurance companies prior to scheduled exam.
• Obtain signs and symptoms in order to support medical necessity.
• Complete other duties as assigned.

Full‑time position; 40 hours per week; shifts 8:30 am‑5:00 pm.

Entry level

Full‑time

Other

Hospitals and Health Care