Description
At NorthBay Health, 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. For the inpatient role, patient transports are required.
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.
Notifies the appropriate payers, physicians and/or patients of appointment changes, cancellations etc.
Reviews daily schedule(s) for open time slots and initiates the process of filling them with patients listed on our standby list.
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 as needed.
Prepares all images and/or reports for mailing.
Other duties as assigned or needed.
At NorthBay Health, our vision is to be the trusted healthcare partner of choice for the communities we serve. We are dedicated to improving the well-being of our community by providing accessible, high-quality care to all who need it. Every member of our team plays a vital role in delivering compassionate and effective healthcare solutions. We invite you to join us in our mission to ensure that every patient and family member feels valued, respected, and cared for throughout their healthcare journey.
Qualifications
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.
Interpersonal Skills:
- Demonstrates the True North values. The True North values are a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at NorthBay Health. The True North values principles consist of Nurture/Care, Own It, Respect Relationships, Build Trust and Hardwire Excellence.
Compensation:
- Hourly Salary Range Min $30.18 - Max $36.70 (Offered hourly rate based on years of experience)
- 10% per diem differential included in salary range
- Plus, Generous Shift Differentials
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