Imaging Resource Specialist I

About the role

The role involves obtaining necessary authorizations for Imaging/Radiology exams, ensuring all necessary documentation and preparatory activities are completed, and maintaining proper authorizations in the record. Responsibilities also include researching referral and provider information as needed, coordinating and facilitating the processing of patients with job-related injuries or illnesses, and serving as the primary point of contact for patients, employers, insurers, and utilization review agents.

Responsibilities

• Answers multi-queue phone lines to schedule and confirm patient appointments
• Schedules imaging appointments, determines appropriate appointment length, and reviews necessary pre-test preparation with patient
• Manages referral work queue (WQ) lists in accordance with standard department authorization and outreach protocols/guidelines
• Ensures that proper referral statuses are utilized in order to maintain WQs is up to date
• Enters referral information in electronic medical records system (Epic), updating referral information and processing renewals
• Conducts thorough chart research to eliminate duplicate referral requests and maintain imaging WQ is up to date
• Responsible for managing STAT and urgent requests, outreach and scheduling
• Performs all decision tree questions; documents all patient responses prior to scheduling. Identify cases for high-risk review
• Utilizes Solutions, schedules imaging appointments, determines appropriate appointment length, reviews necessary pre-test preparation with patient, to include imaging specific procedures
• Manages imaging orders received from Non-Atrius Providers by entering orders into the Atrius EPIC system and ensuring that all necessary clinical information is present
• Follows up with referring providers' offices to obtain missing information when necessary
• Keeps patient and provider informed of status of all referrals (approved, pending or denied)
• Demonstrates a high level of competency when handling difficult phone calls and dealing with complex issues
• Demonstrates attention to detail and ability to problem solve complex cases involving frequent contact with a range of internal and external contacts as well as the need to understand terms and processes of multiple insurance payors
• Researches questions/concerns from patients regarding bills and determines if issue is related to the referral process. Assists in resolving billing and denied referral matters as they relate to the referral process
• Trains and orients new staff as needed

Requirements

• High School Diploma/GED
• 1+ years of scheduling experience in a healthcare setting
• 1+ years of healthcare business office experience OR 1+ years of customer service experience in a healthcare setting
• Intermediate level of proficiency with Microsoft Office products, etc.

Qualifications

• High School Diploma/GED
• 1+ years of scheduling experience in a healthcare setting
• 1+ years of healthcare business office experience OR 1+ years of customer service experience in a healthcare setting
• Intermediate level of proficiency with Microsoft Office products, etc.

Skills

• Strong interpersonal, customer service, time management and organizational skills
• Familiarity with insurance coverage and health care terminology
• Ability to explain referral requirements to both staff and patients
• Ability to work independently as well as to network effectively internally with other department staff
• Ability to work with a high level of detail in a busy and demanding environment
• Utilize electronic communication in a clear, accurate and professional manner

Benefits

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

Pay

The hourly pay for this role will range from $16.00 to $29.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Schedule

FT, 40 hours. Monday - Friday, 9am - 5:30pm

Location

Training is 100% onsite for approximately the first 90 days. Once training is completed, will be working a hybrid schedule of 1 day onsite + 4 days remote. When working / training onsite, will be at 51 Performance Dr. Weymouth, MA

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

Pay and Schedule

FT, 40 hours. Monday - Friday, 9am - 5:30pm

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution