Lead Insurance Specialist

Job Summary

RAYUS now offers DailyPay! Work today, get paid today!

About the Role

RAYUS Radiology is seeking a Lead Insurance Specialist to join our team. We challenge 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!

Essential Duties and 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
• 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
• Backup front desk reception and scheduling area as needed

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 patient signs and symptoms in order to support medical necessity

Team Supervision

• Manages the training and onboarding of new team members
• Aid in the recruiting, interviewing and hiring process for Insurance Specialists
• Schedule and lead regular team meetings and team member one-on-ones
• Monitor and approve timecards
• Initiate and participate in team member performance evaluations and development, including performance improvement plans and disciplinary actions
• Assist in or establishes team member schedules to provide for planned time off, ensuring appropriate staffing levels and adequate Center coverage
• Ensures comprehensive knowledge of company policies and procedures for front office associate team

Completes Other Duties and Projects as Assigned

Remote Position No Status Full-time

Requirements

• High School Diploma, or equivalent
• Four (4) years' healthcare experience working with a variety of health insurance plans for pre-certification and authorization of benefit coverage
• Three (3) years' experience working with managed care and physician office scheduling
• Two (2) years' demonstrated ability to serve as a resource to others and recognize process improvement opportunities
• Advanced experience using Microsoft Office Suite products
• Proficient with using computer systems and typing

Preferred

• Previous experience supervising or leading/mentoring others in an office environment
• Bilingual

Benefits

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.