CDI Medical Insurance Specialist in Fairfax, Virginia

As a full-time Health Insurance Specialist you will work at our Fairfax, VA center. The schedule for this position is Monday - Friday from 8:30 am -5:00 pm. As a Health Insurance Specialist you will provide expertise in insurance pre-certification and authorization of services by calling insurance companies and patients to verify insurance information. In this role you will develop and maintain positive relationships with referring physicians and patients.

ESSENTIAL DUTIES AND RESPONSIBILITIES: Creates a positive experience for every customer, every day by believing in and practicing The Experience

(60%) Insurance Administration

  • Prioritizes work load to ensure all patients are contacted prior to their exam and those with largest responsibility to pay are given highest priority
  • 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
  • Backs up front desk reception and scheduling area as 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

(30%) Price Quotes

  • Completes payor-related information i.e., payor, payor class, date of appointment
  • Obtains all workers compensation approvals from insurance companies prior to scheduled exam
  • Obtains signs and symptoms in order to support medical necessity

(10%) Completes other duties as assigned

Required:

  • High school diploma or equivalent
  • 1-2 years previous health care experience working with a variety of health insurance plans for pre-certification and authorization of benefit coverage
  • Prior experience with managed care and physician office scheduling
  • Microsoft Office Suite Experience
  • Proficient with using computer systems and typing

Preferred:

  • Bilingual

Be a part of something bigger -- join our team in transforming lives through remarkable service. Insight Imaging is a part of CDI's national provider network of medical imaging and related services. Through our collection of partnerships, we deliver our trademark customer service and high-quality services to enhance patient care in more than 35 states, offering a wide range of screening, diagnostic and interventional procedures that complement each community's needs.

Insight is an EO Employer/Vets/Disabled

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled