Imaging Patient Access Specialist

Southeastern Cardiology AssociatesColumbus, OH
Onsite

About The Position

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.

Requirements

  • High School graduate or GED equivalent
  • 2+ years of experience working in an EMR or Medical Office setting required
  • 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

Nice To Haves

  • Pre-certification experience preferred
  • Insurance billing and/or coding experience preferred

Responsibilities

  • 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

Benefits

  • 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.
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