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Imaging Clerical Representative
4 months ago
Reports to the Manager of Imaging Services and monitors the daily function of the Imaging Applications. Interacts with internal and external customers.
**MISSION, VALUES and SERVICE GOALS**:
- **MISSION**: We deliver outstanding care, inspire health, and connect with heart.
- **VALUES**: Trust. Respect. Integrity. Compassion.
- **SERVICE GOALS**: Personally connect. Keep everyone informed. Be on their team.
**Performs Imaging secretarial services by**:
- Answering telephone calls, referring callers appropriately and answering inquiries, also greeting visitors and directing them as necessary.
- Coordinating, as needed, minor projects for supervisor(s) by pulling together information and following up on projects to ensure timely completion.
- Providing general orientation to new department associates concerning general office and department practices.
- Operating standard office equipment (i.e., computer, photocopier, fax, phones) and others as needed.
**Registers patients (in order to obtain demographic, physician and insurance information in accordance with established departmental policies and procedures) and collects applicable payments by**:
- Obtaining identification, demographic, physician and insurance information from patients and accurately entering this information into the hospital information system.
- Updating the system after validation of the patient’s demographic and financial information.
- Using the current Scheduling System or Cerner databases to locate/retrieve scheduled patients for admission/registration input into PreReg / Registration Conversations.
- Explaining 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.
- Validating medical necessity via the Compliance Checker and completing ABN at time of service.
- Verifying and documenting insurance coverage via online eligibility systems, internet resources or via telephone.
- Requesting copies of the insurance card(s) and driver’s license or other government picture ID to confirm insurance benefits and identification.
- Completing the Medicare Secondary Payer Questionnaire (MSP) and Advance Beneficiary Notice (ABN).
- Requesting 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).
- After collecting applicable copayments and deductibles, posting patient payments (including cash, checks and credit cards) on the patient’s account and generating a system receipt to give to the patient (applies by site location).
- Obtaining all required signatures for the “consent to treat” and assignment of insurance benefits forms.
**Coordinates both the Verification of Benefits (VOB) and Pre-certification/documentation (PA) processes for patients by**:
- Using online eligibility systems to determine the patient’s benefits under the insurance plan (applies by site location).
- Documenting all VOB information in the computer system.
- Obtaining pre-certification information from the insurance company’s pre-certification unit (i.e., whether pre-certification is required, if the ordering physician has completed it, etc.). (applies by site location).
- When the ordering physician has not completed the pre-certification, calling the physician’s office to initiate the pre-certification process and following up until it has been completed (applies by site location).
- When the ordering physician has completed the pre-certification, documenting the authorization and releasing the account (applies by site location).
- Printing itemized estimates for the patient upon receipt of copayments or coinsurance (applies by site location).
**Coordinates other patient services and performs clerical duties by**:
- Completes other job-related duties and projects assigned by area coordinator, PACS Administrator, Imaging Manager, or Imaging Director.
- Updating patient accounts for proper and timely claims filing.
- Maintaining logs and charts.
**Education and Training**:
- Attends department meetings, Global meetings and any other meetings assigned by PACS Admin and is responsible for 100% of content of all meetings not attended.
- Assists in the training of new associates to their responsibilities, hospital policies and protocols relative to the position, directing feedback to coordinator.
- Assists in training existing associates to their responsibilities in all areas of the office and reception, directing any feedback to area coordinator.
- Attends all mandatory in services and/or completes written in services in a timely manner as requested by hospital and departmental policies.
- Completes all annual competency required certification to ensure ongoing skills in accordance with department standards.
- As technical advancement occurs, active