Radiology Registration & Scheduling Specialist

Description

JOB SUMMARY

Under the direction of the Imaging Specialist Coordinator and Practice Manager, the Imaging Specialist is a multi-skilled individual responsible for performing PSR/front-office personnel duties; scheduling advanced imaging services via received orders; follow-up on pending orders to ensure patients are scheduled appropriately and timely per established ACR and MCC Imaging protocols; obtaining preauthorization for advanced imaging procedures; verifying patient insurance coverage and benefits; calculating patient out of pocket costs for services and coordinating payments with patients prior to services; charge processing through various methods to facilitate the billing process; insurance follow-up specific to coding denials; responding to questions from patients, Practice Managers, and ordering provider offices; and performing other related duties as requested by Coordinator and Practice Manager. 

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Identify yourself to internal and external customers by always wearing your identification badge. 
• Greet patients with courtesy and respect. Answer questions and direct requests appropriately and efficiently. 
• Schedule patient CT’s, MRI’s, and X-rays within the established protocols. 
• Check-in patients, obtain pertinent demographic and screening information, copy and scan insurance cards as applicable, provide new patient forms, etc. Follow directed protocols for checking in and screening patients for advanced imaging services. 
• Verify and update demographics and insurance in the practice management system at each patient encounter. 
• Collect all co-payments, deductibles and other monies owed at the time of service. Follow established protocol for receipt writing, cash collections, and nightly deposits. 
• Complete deposit log at the end of each day. 
• Provide estimated patient financial responsibility, relative to specialty, to either the patient or patient representative (i.e. patient’s attorney.). 
• Verify patient appointment via telephone minimum of 2 days prior to patient appointment, to include pertinent prep information and out of pocket financial expectations.
• Answer telephones promptly and in a professional manner according to MCC customer service standards. Expectation to answer calls within 30 seconds. 
• Review all charge tickets and resolve any incomplete items. 
• Properly tag and route charge tickets for MedPro. 
• Maintain a check and balance system by comparing prepped charts to daily schedules to capture any STAT and/or add-ons. 
• Manage schedule to ensure maximum utilization of available time slots. Follow scheduling protocol established and provided by Imaging Tech Supervisor, Practice Manager, and Radiologist(s).
• Comply with MCC policies as directed, carrier policies, and other protocols associated with the medical practice. 
• Prepare all pertinent information for scheduled appointments (lab results, medication, stimulator info), according to protocol. 
• Retrieves moneybag each morning. 
• Accurately key and release charges into the charge scrubbing system as instructed. 
• Notify clinical staff the patient has arrived, walk patient to changing area, and provide tech with appropriate documentation and information for the visit. 
• Utilizes the Managed Care Worklist to track receipt, delays and completion of requests, to prioritize requests and to obtain authorizations timely before the scheduled date of service, if possible. Imaging Specialists provide all Imaging authorization services and captures authorizations based on when the service is scheduled and according to carrier guidelines and timing of carrier responses. Communicate authorization statuses with patients and the ordering provider. Communicate with the ordering provider as soon as possible if/when carriers require a peer review and/or deny the service authorization. 
• Works Eligibility and Authorization denial reports for the Diagnostic Center. Communicates coverage and medical necessity concerns with the Imaging Practice Manager and ordering provider immediately. 
• Updates/maintains the Preauthorization Insurance Matrix at minimum on a 6-month basis as carrier guidelines may change.
• Stays current on insurance carrier requirements for pre-authorizations through continuing education opportunities and research.
• Analyzes data recorded in the Managed Care Work list to provide recommendations for process improvements. 
• Uploads Diagnostic Center Interpretation report files into electronic medical record daily. 
• Updates Diagnostic Center patient accounts with the correct insurance information. 
• Independently assesses carrier trends, on a proactive basis and communicates information to appropriate personnel. 
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