Imaging Support Specialist - NBHP (Full Time, Day)

The Imaging Support Specialist is key to the success of daily patient service. The Imaging Support Specialist obtains billing documentation and authorizations for all patient imaging exams done in the clinic. Interviews the patient or his/her representative to secure accurate demographic and insurance information ensuring the patient’s care is not delayed. Verifies and documents eligibility and benefits for patient’s specific payor. Schedules exams for multiple diagnostic modalities. Organizes and distributes paper flow among facility staff. Inputs all patient demographics into facility information system. Answer multi-line switchboard and route calls accordingly. Inputs updates and/or changes to daily/weekly schedule and patient record. Prepares and processes all court ordered subpoenas and medical records requests. Processes incoming exam reports and prepares items for mailing/faxing. Collects patient co-pays and/or account payments. Maintains knowledge of HIPAA laws/forms and ensures front desk is compliant at all times. Processes all patient requests for viewing/amending PHI, accounting of disclosures, special privacy protections, confidential channel communication and complaints. Exhibits excellent customer service to patients, families and other staff.

Primary Job Duties

- Schedule all physician, patient and/or insurance company requests for various diagnostic studies offered by the facility.
- Obtains billing documentation and authorizations for the various modalities offered.
- Explains registration and HIPAA forms to patients and obtains required signatures.
- Gathers/validates the required, comprehensive pre-registration/registration data set, reviews them for accuracy and screens patients for safety concerns/issues as warranted.
- Organizes and distributes daily paper flow to the appropriate department(s).
- Verifies and documents eligibility and benefits for all payers including identifying and resolving all Medicare, Medi-Cal, managed care and third party requirements.
- Provides applicable basic education to patients, communicating payer specific benefits to optimize the opportunity for customer satisfaction.
- Communicates financial liability, collecting deposits, copays and deductibles as appropriate.
- Notifies the appropriate payors, physicians and/or patients of appointment changes, cancellations etc.
- Prepares and processes all court ordered subpoenas and/or medical record requests.
- Prepares and processes billing invoices for facility fees that are charged to produce documents needed with subpoena and medical record requests.
- Faxes exam reports to physicians and/or insurance companies.
- Prepares image CDs and/or reports for mailing.
- Maintains referring physician data base to ensure accuracy of phone/fax #'s, mailing address and UPIN #'s.
- Performs follow-up on all No Show and/or cancelled appointments.
- Maintains current knowledge of HIPAA laws and forms and ensures the front desk is in compliance at all times.
- Responsible for adhering to and processing all patient(s) requests to view/amend their PHI, accounting of disclosures, special privacy protection, confidential channel communications etc.
- Maintains proper documentation in computer system(s) to ensure all accounting of disclosures of PHI are met.
- Maintains daily log (to adhere to HIPAA compliance guidelines) of all non-employee(s) who enter the facility and have possible exposure to PHI.
- Assists technical and medical staff with procedures as needed.
- Other duties as assigned or needed.

Education

- High school graduate or equivalent preferred.

Licensure

- Current AHA or equivalent healthcare provider BLS Certification required.

Experience

- General clerical, one or more years of clerical experience in a medical office setting preferably radiology and knowledge of HIPAA laws and guidelines.

Skills

- Exquisite customer service skills.
- Comprehensive knowledge of payer and managed care requirements.
- Advanced medical terminology.
- Minimum of 35-wpm typing.
- Computer data entry and math skills.
- Sophisticated communication skills.
- Promotes teamwork.
- Sensitive to customer needs.

Hours of Work

- Based on business need.

Compensation

- $27.44 to $33.37 per hour based on years of experience doing the duties of the role.