Boynton Beach, FL, USA
15 days ago
Insurance Supervisor

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

 

RAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for an Insurance Supervisor to join our team. We are challenging 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!

 

JOB SUMMARY:  Provides expertise in insurance pre-certification and authorization of services by calling insurance companies and patients to verify insurance information. Develops and maintains positive relationships with referring physicians and patients.  Ensures the team is delivering the highest level of service. This position is full-time Monday-Friday, 8:30am - 5:00pm.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

 

(35%) Insurance Administration

Prioritizes work load to ensure all patients are authorized prior to their exam  Determines 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 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

 

(35%) Team Management

Supports associates ensuring highest level of patient satisfaction Ensures comprehensive knowledge of the company’s policies and procedures for all associates Establishes associate schedules to provide for planned time off, ensuring appropriate staffing levels and adequate center coverage Monitors and approves timecards Participates in staff planning and hiring process along with management Initiates and participates in associate performance evaluations, compensation and development of associates including performance improvement plans, disciplinary actions and/or terminations Leads regular staff meetings and associate one-on-ones Develops and monitors the teams’ performance through QA process Implements training program for new associates Fosters a team environment, ensuring appropriate communication between departments Creates and updates center’s information manuals as needed

 

(25%) Price Quotes

Verifies insurance eligibility and benefits Calculate patients expected financial responsibility  Notify patients of expected financial responsibility

 

 (5%) Completes other duties as assigned

 

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