Job Description
BASIC PURPOSE:
The individual participates as an important member of Guam Radiology Consultant’s MRI Team to address and resolve broad administrative issues such as patient scheduling, patient and staff safety, workflows, operational monitoring, regulatory compliance and the overall timeliness and quality of services provided to patients in MRI Centers.
NOTE: Job Descriptions may be revised to suit Business needs at any time.
DEPARTMENT SPECIFIC COMPETENCIES:
Responsible for screening patients or obtaining necessary medical information that are required based on established protocols.
Responsible for assisting patients with completion MRI Safety Forms prior to MRI exam
Schedule, confirm and reschedule patient appointments for MRI Examinations. Coordinates exams with clinical staff when needed.
Obtain, enter, and update all patient information, in the patient electronic records to maintain accuracy for scheduling and billing purposes.
Obtain and upload insurance verification eligibility via insurance portals when needed.
Responsible in providing patients preparation, pre-operative, medication and/or other instructions that are required based on established protocols.
Maintaining and updating a 24-hour patient list for follow up, assuring patients are promptly scheduled with no delays.
Maintaining and returning all phone messages within the departments, assuring prompted response to patients with no delays.
Provide rapid response to incoming phone calls and assists with answering spillover phone calls and transferring to appropriate staff as needed
Develop and maintain current and relative knowledge of MRI Exams and GRC Scheduling Guidelines
Develop and maintain current and relative knowledge of third-party payer billing requirements.
Develop and maintain current and relative knowledge of Federal and State billing regulations and guidelines.
Develop and maintain current and relative knowledge of how to verify eligibility with various third-party payers.
ESSENTIAL JOB RESPONSIBILILTIES
Clerical and analytical ability to be self-sufficient in performing duties and maintaining confidential records.
Demonstrates proficiency in scheduling appointments, authorizations, verifying eligibility and posting charges.
Demonstrate proficiency in collecting co-payments and co-insurances
Communicates changes in operations such as schedule delays to their team members.
Produce the necessary reports needed by the various areas.
Other duties as assigned.
CORE EXPECTATIONS
Maintains a safe work environment and adheres to safety standards established by departmental and OSHA policy.
Consistently projects a professional image through attire, conduct, and personal grooming and overall attitude.
Consistently communicates positive guest relation’s behavior by showing interest, concern, appreciation, respect, and empathy when in contact with patients, patient family members, vendors, physicians, and employees.
Maintains the strictest confidentiality regarding privileged patient information, which includes but is not limited to the patient’s medical condition, medical records, and demographic and financial information. Additionally, this includes maintaining and enforcing the confidentiality of information and/or knowledge of employees’ records, activities, and information about the organization which may be acquired through normal work duties or by accident and may be considered as sensitive or confidential.
Ensure compliance with all HIPAA and OSHA policies and procures.
ENVIRONMENTAL AND SAFETY FACTORS
Not substantially exposed to adverse environmental conditions.
Must be able to sit at a desk for long period of time.
Exposed to and must interact with patients who are of diminished mental capacity, incarcerated and physically handicapped.
Knowledge and Skills:
Education: High School Diploma or GED equivalent
Experience:Â Experience in Medical Field (e.g. Medical Billing, Scheduling) Preferred
Skills and Abilities: Must possess strong customer service skills, be proficient in use of PC and Windows OS, familiar with Medical Terminology, CPT & ICD10 Coding, able to communicate in a professional manner. Should be able to complete multiple tasks simultaneously. Must possess basic typing skills to input various data into the RAMSOFT system. Must be familiar with all equipment and processes needed to complete duties.
No. of Employees Supervised:Â N/A
Travel Required:Â N/A
Hours Required: Normal department operations are Monday – Friday 8:00am – 9:00pm, Saturday 8:00am - 4:00pm. Emergency work hours occasionally needed to satisfactorily complete job duties.
License/Certificates/Agreements:Â Non-Disclosure & Non-Solicitation Agreement, Basic Life Saving (BLS) Certification
Compensation:Â Non-Exempt Hourly Position, Full-Time Benefits (if eligible)
Requirements
EDUCATION:
High school diploma or GED required
Equal Opportunity Employer
Guam Radiology Consultants and its affiliates are an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state, or local protected class.