Pre-Imaging Services Representative

Full Time
Boynton Beach, FL 33426
Posted
Job description
RAYUS Radiology formerly Diagnostic Centers of America, is challenging the status quo by shining the light on radiology and making it a critical first step in diagnosis and proper treatment.

We are committed to delivering clinical excellence in communities across the U.S., driven by our compassionate, safe, and cost-efficient care, and superior service to referring providers and patients. RAYUS Radiology is built on our brilliant medicine, brilliant team, brilliant technology and services—all to provide the highest level of patient care possible.

We bring brilliance to health and wellness. Join our team and shine the light on Radiology Services!

We offer our employees competitive compensation package, including but not limited to;

Medical, Vision, Dental, Short- and Long-term insurance

6+ Days of Holidays Pay

15+ days of PTO

$50,000 employer paid life insurance

401K with employer contribution up to $3,000

Discount on Imaging Services

Pet insurance

What will you be doing:
As a Pre Imaging Service you will be responsible for the admission set up, insurance verification, benefits, financial responsibility, obtaining authorization for services, and final review of account prior to patient registration. The pre-imaging representative responsible for timely and accurate quality assurance of Patient Access. This is a Fulltime position, the shift being 8:00am to 5:30pm.

Duties and Responsibilities include:
Responsible providing exceptional patient experiences.

Data entry and populating intake demographic information

Intense insurance verification

Obtaining referrals, pre-certifications, authorizations for services rendered, including from TPA's

Utilizing and navigating EHR software and programs.

Proactively reviewing accounts to ensure completion for patient registration.

Handling medical records and clinical submission while ensuring HIPPA regulations are followed.

Verify all pertinent information is accurate such as demographics, ordering physician, copy to physician, exam scheduled, authorizations, CPT codes, and match diagnosis codes to exams

Collect necessary information to initiate and/or complete authorizations as required per procedure.

Manage denial issues and track authorization process.

Acts as a liaison between health plans, physician offices, patients, and DCA staff.

Contacts referring offices as needed to obtain clinicals, clarify orders, obtain missing information and/or related data.

Contact patient, referring physician office via phone or fax for missing information, lab work, prior reports, prescriptions and/or referrals. Checking various insurance platforms for Referrals.

Same day exam clarification and exam changes request by Technologists

Requirements:
Requirements:
2+ years of medical office experience, preferably in Diagnostic Imaging.

2+ years of insurance verification, eligibility, coverage, benefits, and authorization experience.

Strong Health Insurance Knowledge, types of plans, and their LOB.

Strong communication and critical thinking skills.

Ability to work extended hours of operation.

Ability to work well in multi-disciplinary professional teams

Preferred:
Bilingual Preferred

Medical Assistant Certifications Preferred but not required

RAYUS Radiology is challenging the status quo by shining the light on radiology and making it a critical first step in diagnosis and proper treatment. We are committed to delivering clinical excellence in communities across the U.S., driven by our compassionate, safe, and cost-efficient care, and superior service to referring providers and patients. RAYUS Radiology is built on our brilliant medicine, brilliant team, brilliant technology and services—all to provide the highest level of patient care possible.

We bring brilliance to health and wellness. Join our team and shine the light on Radiology Services!

RAYUS Radiology is an EO Employer/Vets/Disabled.

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