Imaging Clerical Rep (MHO)

Responsibilities

• Answers telephone calls, refers callers appropriately, answers inquiries, greets visitors, and directs them as necessary.
• Coordinates minor projects for supervisor(s) by pulling together information and following up on projects to ensure timely completion.
• Provides general orientation to new department associates concerning general office and department practices.
• Operates standard office equipment (computer, photocopier, fax, phones) and others as needed.
• Registers patients by obtaining identification, demographic, physician, and insurance information from patients and accurately entering this information into the hospital information system.
• Updates the system after validating the patient’s demographic and financial information.
• Uses the current Scheduling System or Cerner databases to locate/retrieve scheduled patients for admission/registration input into PreReg / Registration.
• Explains to the referring office or patients about the possible need to pre-certify with the referring offices or patient’s insurance carrier in order to ensure maximum coverage to the limits of the insured’s insurance policy.
• Validates medical necessity via the Compliance Checker and completes ABN at time of service.
• Verifies and documents insurance coverage via online eligibility systems, internet resources, or via telephone.
• Requests copies of the insurance card(s) and driver’s license or other government picture ID to confirm insurance benefits and identification.
• Completes the Medicare Secondary Payer Questionnaire (MSP) and Advance Beneficiary Notice (ABN).
• Requests payment either during the pre-registration process, when the patient presents for service, or at Patient Check Out in accordance with MHSB’s policies and procedures (applies by site location).
• Posts patient payments (including cash, checks, and credit cards) on the patient’s account and generates a system receipt to give to the patient (applies by site location).
• Obtains all required signatures for the “consent to treat” and assignment of insurance benefits forms.
• Captures and documents the Verification of Benefits (VOB) and Pre-certification/documentation (PA) processes for patients.
• Prints itemized estimates for the patient upon receipt of copayments or coinsurance (applies by site location).
• Coordinates other patient services and performs clerical duties.
• Updates patient accounts for proper and timely claims filing.
• Maintains logs and charts.

Qualifications

• High school diploma or equivalent is preferred.
• Minimum of 17 years of age.
• Experience with Computer Applications and Information Systems Applications preferred.
• One to two years of job-related experience is preferred.
• Strongly prefer two to three years’ experience in a healthcare setting.
• Understanding of DICOM computer language preferred.
• Medical Terminology and Radiology environment experience preferred.