Insurance Specialist - CDI Mgmnt - Plano, TX

Insurance Specialist - CDI Mgmnt - Plano, TX -

Be part of one thing greater – be a part of our staff in reworking lives by means of exceptional service. CDI is a nationwide supplier community of medical imaging and associated providers. Via our assortment of partnerships, we ship our trademark customer support and excessive-high quality providers to reinforce affected person care in additional than 35 states, providing a variety of screening, diagnostic and interventional procedures that complement every group’s wants.

We’re at present looking for a full-time, Insurance Specialist to hitch our Willowbend middle in Plano, Texas.

The schedule can be Monday – Friday 9:00 am – 5:30 pm.

JOB SUMMARY:
On this position you’ll present experience in insurance pre-certification and authorization of providers by calling insurance corporations and sufferers to confirm insurance info. Develop and keep constructive relationships with referring physicians and sufferers.

ESSENTIAL DUTIES AND RESPONSIBILITIES:
Creates a constructive expertise for each buyer, daily by believing in and working towards The Expertise

(60%) Insurance Administration

• Prioritizes work load to make sure all sufferers are contacted previous to their examination and people with largest duty to pay are given highest precedence

• Determines if affected person’s insurance is part of the supplier community

• Makes outgoing calls to insurance corporations for pre-certification or any authorization

• Receives pre-authorization from sufferers and/or insurance corporations and paperwork

• Contacts affected person and referring workplaces utilizing HIPAA tips previous to scheduled examination when further insurance info is required

• Backs up entrance desk reception and scheduling space as wanted

• Precisely enters quite a lot of info together with date schedule requests acquired, affected person identify, referring doctor and procedures into pc system

• Maintains constructive interactions with referring workplaces, sufferers and employees

(30%) Worth Quotes

• Completes payor-associated info i.e., payor, payor class, date of appointment

• Obtains all staff compensation approvals from insurance corporations previous to scheduled examination

• Obtains indicators and signs with a view to help medical necessity

(10%) Completes different duties as assigned

COMPETENCIES (KNOWLEDGE, SKILLS AND ABILITIES) REQUIRED:
• Information of and adherence to firm insurance policies and protocols

• Information of and adherence to HIPAA and security tips

• Information of primary degree pc expertise

• Talent in organizing and prioritizing work and following assignments via to completion

• Talent in written and verbal communication

• Talent with interpersonal relationships and skill to successfully work together with all ranges of employees and out of doors contacts

• Capability to work independently and in a staff surroundings

• Capacity to work in a quick-paced surroundings and meet established deadlines

• Means to be versatile in schedule and adaptable to fixed change

• Potential to successfully deal with particulars with accuracy

• Potential to take care of common attendance and on-time arrival to work as scheduled

• Capability to ship top quality customer support to inner and exterior clients by speaking with integrity and compassion

• Means to stay calm in troublesome conditions

• Capability to resolve service restoration points and perceive when to escalate to the subsequent degree

REQUIRED QUALIFICATIONS:
• Highschool diploma or equal

• 1-2 years earlier well being care expertise working with quite a lot of well being insurance plans for pre-certification and authorization of profit protection

• Prior expertise with managed care and doctor workplace scheduling

• Microsoft Workplace Suite Expertise

• Proficient with utilizing pc methods and typing

PREFERRED QUALIFICATIONS:
• Bilingual

Our imaginative and prescient is to be the acknowledged chief in offering excessive-high quality radiology, management and associated well being care providers, targeted on the wants of our native communities in partnership with physicians and hospital. We all know that our associates are the important thing to our firm’s success and future progress. In case you’re an individual who’s motivated to go above and past, impressed by working with the perfect and compelled to do the proper factor, our group is the proper selection for you.

CDI is an equal alternative employer; candidates are thought-about with out discrimination with regard to race, shade, faith, intercourse, sexual orientation, gender id, nationwide origin, age, incapacity, veteran standing or different statuses protected by state, native or different relevant legal guidelines. This coverage extends to all elements of employment, together with recruitment and hiring.

CDI and its associates have an employment relationship, which is called employment-at-will. Which means both CDI or an affiliate has the appropriate to terminate the employment relationship at any time, for any purpose with or with out trigger or prior discover.

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