Responsibilities
Coordinates incoming orders and related documentation/correspondence for outpatient imaging exams, including results; works with the hospital ordering physician, patient/guarantor, insurance company, and physician office to ensure all necessary approvals for services rendered and received are documented appropriately. Ensures electronic prescriptions from the hospitalist and/or specialist are catalogued appropriately. Prepares and mails correspondence to patient regarding Freedom of Choice Act for their imaging needs. Collects and analyzes data to ensure outpatient ordering effectiveness, quality, and compliance meets designated standards. Ensures proper prescription documentation is entered into the Soarian system; maintains the request reporting system; communicates with Hospitalist and/or Specialist regarding order discrepancies. Schedules and contacts patients regarding their appointment date, time, location and preparation needs. Obtains expected collection amounts due at time of service. Assists in the training of Support Service staff with the "outpatient order facilitator" program; provides Order Facilitator training to physician offices who request the program. Provides training and support to MWHC departments with the CPOE Order Set Program. Answers telephones courteously, professionally, and by the third ring. Screens and transfers telephone calls or takes messages as appropriate to facilitate effective Radiology communications. Delivers messages in a timely manner. Communicates with insurance companies to determine appropriate benefits, required co-pays, documents pre-authorizations, and prorates bills with management approval; contacts patients/guarantors to communicate requirements under certain insurance plans. Enters all necessary pre-authorization documentation into Radiology Management Systems (RMS) via the revised schedule information screen to ensure correct transfer of information for billing, and efficient follow-up with patients/guarantors and third-party payers. Maintains insurance specific information and requirements and communicates changes to MIF management. Reviews pre-authorization denial reports provided by the billing company to ensure accuracy of the pre-authorization process. Monitors and maintains an adequate inventory of office supplies and materials to ensure smooth operations in the work area and non-interruption of patient services. Participates in Performance improvement activities by utilizing the FOCUS PDCA (Plan, Do, Check, Act) approach to improvement. Remains proficient in the use of, Order Facilitator, Soarian, Syngo, Phreesia, RIS, insurance verification websites and other Radiology or Information Management systems as needed. Performs other duties as assigned.
Qualifications: Associates Degree preferred. Experience working with health care insurance and insurance terminology required. Experience with using computers in an office environment required. Two years of related experience in patient registration, patient accounts, or patient billing preferred. Must be keyboard literate. 
