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Insurance Specialist

2 months ago

Orlando, Florida, United States RAYUS Radiology Full time
Insurance Specialist

RAYUS Radiology is seeking a skilled Insurance Specialist to join our team. As an Insurance Specialist, you will play a critical role in ensuring seamless patient care by providing expertise in insurance pre-certification and authorization of services.

Key Responsibilities:
  • 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
  • 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
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
About RAYUS Radiology:

RAYUS Radiology 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. We bring brilliance to health and wellness by combining brilliant medicine, brilliant team, brilliant technology, and services to provide the highest level of patient care possible.