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Insurance Supervisor

2 months ago

Boynton Beach, Florida, United States RAYUS Radiology Full time
Job Summary

RAYUS Radiology is seeking an experienced Insurance Supervisor to join our team. As a key member of our team, you will be responsible for providing expertise in insurance pre-certification and authorization of services, developing and maintaining positive relationships with referring physicians and patients, and ensuring the team delivers the highest level of service.

Key Responsibilities
  • Prioritize workload to ensure all patients are authorized prior to their exam
  • Determine if patient's insurance is 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
  • Obtains signs and symptoms in order to support medical necessity
  • Obtains all workers compensation approvals from insurance companies prior to scheduled exam
  • Completes payor-related information i.e., payor, payor class, date of appointment
Requirements
  • High school diploma or equivalent
  • 4+ years previous healthcare experience working with a variety of health insurance plans for pre-certification and authorization of benefit coverage
  • Prior supervisory or leadership experience in an office environment
  • Prior experience with managed care and physician office scheduling
  • Proficient with using computer systems and typing
  • Knowledge of medical terminology
  • Knowledge of CPT and ICD-10 coding
  • Ability to read and interpret physician notes, diagnosis and other clinical documentation
  • Ability to multitask
  • Ability to focus and maintain direction in the tasks at hand under pressure
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, and we're looking for talented individuals like you to join our team.