Healthcare Insurance Coordinator
4 weeks ago
Radiology Insurance Administrator Needed at RAYUS Radiology
We are seeking a skilled Radiology Insurance Administrator to join our team at RAYUS Radiology. 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.
Key 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
- 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 computer system
- Maintain positive interactions with referring offices, patients and staff
- Back up 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 signs and symptoms in order to support medical necessity
(5%) Complete other duties as assigned
Requirements:
- High school diploma or equivalent
- 1-2 years previous 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 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.
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