Imaging Patient Access Specialist

Job Description

Job Description

Description:

The Imaging Patient Access Specialist is responsible for coordinating and supporting all aspects of patient scheduling, insurance verification, pre-authorizations, referrals, and imaging testing workflows to ensure timely and efficient patient care. This role manages testing schedules, follow-up appointments, pre-procedure requirements, benefit verification, patient financial counseling, and account documentation while maintaining accurate records within the electronic medical record system. The specialist serves as a key liaison between patients, providers, billing, and front office staff, handling inbound and outbound communications, appointment confirmations, referral and authorization processing, report uploads, patient checkout, and billing-related documentation to support seamless clinical operations and an exceptional patient experience.

• Timely and accurately completes all assigned T and D jelly beans and actions
• Monitor add-on list to ensure no add-on appointments are overlooked
• Assists with the testing schedule by verifying upcoming appointments.
• Accurately schedules appropriate follow-up visits and in-office testing as ordered by providers
• Works closely with Front Office staff to ensure that patients are received timely for their appointments.
• Develops in-depth understanding of the in-office testing schedule
• Check benefits for all patients who have Medicare.
• Contact customer service representative for all other (non-Medicare) insurances; get benefits and authorization online or over phone, if required.
• Contact self-pay or lapsed insurance patients at least 5 working days in advance of their appointment to obtain new/valid insurance or provided the cost of the visit
• Determine the amount to be collected based on benefits and previous balances
• Flag accounts appropriately as necessary (i.e.: referral required, balance due, needs new demographics, etc.)
• Annotate all data in the patient’s chart, payments needed are to be put in Billing Alerts
• Work pre-authorization schedule at least a week in advance of patient appointment
• Helps with any scheduling issues (i.e. reschedule, calls patients, checks add-ons, sends actions, etc.).
• Upload finalized imaging reports accordingly.
• Scan documentation (Approvals for visits) into the patient’s chart for prompt billing
• Appropriately notifies billing about any add-ons through an action in the EMR
• Place all appropriate notes in EClinicalWorks, attached to the visit (which will in turn attach to the claim).
• Annotate all data in the patient’s chart, payments needed are to be put in Billing Alerts
• Answers inbound call for scheduling/ rescheduling testing appointments, internal calls to ensure that physicians find testing information and reports.
• Check and follow up on voicemails daily
• Conducts outbound to confirm appointments with patients, provide coinsurance information, and reinforce testing instructions.
• Obtain and attach referrals to the appropriate visit
• Complete pre procedure work up
• Perform patient checkout in eCW based on nurse, NMT and MA communications

Education & Qualifications

• High School graduate or GED equivalent
• 2+ years of experience working in an EMR or Medical Office setting required
• Pre-certification experience preferred
• Insurance billing and/or coding experience preferred

Job Knowledge and Skills

• Effectively and respectfully communicates with other departments of the office
• Demonstrate excellent communication skills (verbal and written) as well as computer/electronic medical record systems skills
• Exhibit an ability to adapt to unpredictable situations within the work setting
• Independently completes all assignments in a timely manner
• Maintains strict confidentiality according to HIPAA Privacy & Security Rule

Full-Time Benefits & Perks

• Set scheduled 4-day work week
• Comprehensive Medical, Dental, and Vision insurance (effective 1st of the month following 60 days)
• Company-paid Long-Term Disability (60%) and $25,000 Basic Life Insurance
• 6 Paid Holidays: New Year’s Day, Memorial Day, 4 of July, Labor Day, Thanksgiving, & Christmas
• PTO accrued at 3.08 hours per paycheck (80 hrs / yr )
• 401k matching program after 1 year worked
• VIP Status at both Southeastern Cardiology and Southeastern Gastroenterology
• Discounts through Uniforms of America, and the Working Advantage program.