Scheduling And Data Entry Specialist

Job Summary
RAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for a Scheduling and Data Entry Specialist 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! As a Scheduling and Data Entry Specialist, you will provide support to the companies' markets with order entry, Scheduling and insurance pre-certification and authorization.
This is a full time position working Monday-Friday8:30am-5:00pm.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
(45%) Scheduling

• Supports market(s) in scheduling of patient appointments as determined by team lead
• Answers phones and handles calls in a professional and timely manner
• Maintains positive interactions at all times with patients, referring offices and staff
• Schedule's patient examinations according to existing company and market policies
• Ensures all appropriate personal, financial and insurance information is obtained and recorded accurately
• Ensures all patient data is entered into information systems completely and accurately
• Ensures patients are advised of appointment preps, financial responsibilities, and online information
• Communicates to technologists any scheduling changes in order to ensure highest patient satisfaction
• Maintains up to date and accurate database on all current and potential referring physicians
• Obtains and enters new referring physician information in computer system database and passes along to market for follow up.
• Enters documents received via electronic format (fax to scan) into RIS system within a timely fashion

(40%) Pre-Certification and Authorization

• Supports market(s) in insurance pre-certification and authorization as determined by team lead
• Determines if patients' insurance is part of the provider network
• Makes outgoing calls to insurance companies for pre-certification or any authorization
• Utilizes payer websites to obtain prior authorization
• Contact's patients and referring offices using HIPAA guidelines prior to scheduled exam when additional insurance information is needed
• Verifies insurance eligibility
• Uses knowledge of insurance carriers and procedures that require waivers to obtain authorization if needed prior to appointment

(10%) Resource to Operations Improvement Department

• Pulls reports/information, reviews and publishes data to facilitate timely communication with the Operations Improvement team
• Assists in identifying improvement opportunities that can provide a positive impact to operations
• Provides assistance in various projects in coordination with other Operations Improvement staff

(5%) Completes other tasks as assigned
Requirements
SUMMARY OF QUALIFICATIONS:
Required:

• High school diploma or GED
• Microsoft Office Suite experience
• Proficient with using computer systems and typing

Preferred:

• 1 to 2 years' customer service and Data Entry experience
• Medical terminology or previous clinical office experience
• Bilingual

RAYUS 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. 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.