Brown University Health
Summary
Overview
Primary duties include the verification of financial coverage and pre-authorization of patient appointments for specified Radiology exams. Requires knowledge of a variety of imaging procedures to assist others in booking a wide range of imaging exams. Performs in accordance with the facility's policies and procedures. Follows the facility's standards for ethical business conduct. Participates in facility committees, meetings, in-services, and activities. Key Responsibilities
Records all insurance benefit and certification information in the applicable computer system. Completes and distributes all paperwork required by insurance and Imaging department. Gathers all necessary information from secretaries to obtain pre-authorizations and pre-certifications as stipulated by each individual health plan for Diagnostic Imaging services and communicates with scheduling when additional information is required. Interfaces daily with insurance carriers, individual insurance provider authorizers, medical groups, and scheduling coordinators to maximize efficiency. Follows company/department policies and procedures as well as compliance standards. Notifies management staff when problems arise. When providing scheduling services, maintains communication with the ordering physicians and their secretaries to schedule patients for a variety of imaging procedures. Knowledge regarding the appropriate exam preparation, appointment arrival time, and contraindications. Communicates these instructions to both scheduling secretaries and the patients that may call directly. Utilizes payer websites to determine eligibility and benefit determination to ensure radiology exams are covered and to prevent denials. Other duties as assigned. Required Qualifications
Minimum of 2-4 years' experience in medical office setting required; medical terminology and computer skills preferred. Excellent customer service/communication skills. Detailed knowledge of third-party payer requirements for authorization to facilitate payment for Imaging services. Familiar with medical terminology, ICD-10 coding, and CPT procedure codes preferred. Ability to process multiple tasks in an ever-changing environment and prioritize workload effectively. Must be able to function independently. Education
High school diploma or equivalent required; associate degree or Secretarial certificate preferred. Working Conditions
While performing the duties of this job the employee is frequently required to sit, walk, stand. The employee is occasionally required to reach with hands and arms; climb or balance; stoop, kneel, crouch or crawl; and talk or hear. May be exposed to various patient conditions including infectious diseases, blood and bodily fluids. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Brown University Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, ethnicity, sexual orientation, ancestry, genetics, gender identity or expression, disability, protected veteran status or marital status. Brown University Health is a VEVRAA Federal Contractor. Location: BHMG-North Dartmouth-535 Faunce Comer Rd USA:MA:North Dartmouth Work Type: Part Time Shift: Shift 1 Union: Non-Union Seniority level: Entry level Employment type: Part-time Job function: Other Industries: Hospitals and Health Care Note: Referrals increase your chances of interviewing at Brown University Health. #J-18808-Ljbffr
Primary duties include the verification of financial coverage and pre-authorization of patient appointments for specified Radiology exams. Requires knowledge of a variety of imaging procedures to assist others in booking a wide range of imaging exams. Performs in accordance with the facility's policies and procedures. Follows the facility's standards for ethical business conduct. Participates in facility committees, meetings, in-services, and activities. Key Responsibilities
Records all insurance benefit and certification information in the applicable computer system. Completes and distributes all paperwork required by insurance and Imaging department. Gathers all necessary information from secretaries to obtain pre-authorizations and pre-certifications as stipulated by each individual health plan for Diagnostic Imaging services and communicates with scheduling when additional information is required. Interfaces daily with insurance carriers, individual insurance provider authorizers, medical groups, and scheduling coordinators to maximize efficiency. Follows company/department policies and procedures as well as compliance standards. Notifies management staff when problems arise. When providing scheduling services, maintains communication with the ordering physicians and their secretaries to schedule patients for a variety of imaging procedures. Knowledge regarding the appropriate exam preparation, appointment arrival time, and contraindications. Communicates these instructions to both scheduling secretaries and the patients that may call directly. Utilizes payer websites to determine eligibility and benefit determination to ensure radiology exams are covered and to prevent denials. Other duties as assigned. Required Qualifications
Minimum of 2-4 years' experience in medical office setting required; medical terminology and computer skills preferred. Excellent customer service/communication skills. Detailed knowledge of third-party payer requirements for authorization to facilitate payment for Imaging services. Familiar with medical terminology, ICD-10 coding, and CPT procedure codes preferred. Ability to process multiple tasks in an ever-changing environment and prioritize workload effectively. Must be able to function independently. Education
High school diploma or equivalent required; associate degree or Secretarial certificate preferred. Working Conditions
While performing the duties of this job the employee is frequently required to sit, walk, stand. The employee is occasionally required to reach with hands and arms; climb or balance; stoop, kneel, crouch or crawl; and talk or hear. May be exposed to various patient conditions including infectious diseases, blood and bodily fluids. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Brown University Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, ethnicity, sexual orientation, ancestry, genetics, gender identity or expression, disability, protected veteran status or marital status. Brown University Health is a VEVRAA Federal Contractor. Location: BHMG-North Dartmouth-535 Faunce Comer Rd USA:MA:North Dartmouth Work Type: Part Time Shift: Shift 1 Union: Non-Union Seniority level: Entry level Employment type: Part-time Job function: Other Industries: Hospitals and Health Care Note: Referrals increase your chances of interviewing at Brown University Health. #J-18808-Ljbffr