Imaging Clerical Representative

4 weeks ago

Elkhart, United States Beacon Health System Full time

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

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