Job Information
Tufts Medicine Health Image Associate - Per Diem in Melrose, Massachusetts
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Job Profile Summary
This role focuses on providing administrative and business support to the organization in order to achieve operational goals. In addition, this role focuses on performing the following General Administration duties: Produces documents, collects, records, sorts and files information, handles mail, prepares routine reports, makes travel arrangements, arranges appointments, responds to inquiries, data entry, and operates office equipment. An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a “hands on” environment. The majority of time is spent in the delivery of support services or activities, typically under supervision. An entry level role that typically requires little to no prior knowledge or experience, work is routine or follows standard procedures, work is closely supervised, and communicates information that requires little explanation or interpretation.
Job Overview
This position is responsible to register patients for services using the Hospital Information System. Orders Examinations, gives exam instructions to patients and answers questions concerning exams and insurance issues. Schedules patients for appointments. Sends patient’s result letters and tracks patients follow ups. Assists with coordination of Grant Program.
Job Description
Minimum Qualifications :
High school diploma or equivalent.
One (1) year of experience in a medical office or hospital.
Duties and Responsibilities : The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned.
Obtains or confirms patient demographic and insurance information following department policies and procedures.
Uses applicable screening software to determine if ordered testing meets payer medical necessity coverage guidelines.
Electronically verifies insurance coverage through proper utilization of electronic eligibility software, payer web sites or telephone verification as required by departmental policies.
Complies with all HIPAA mandates in regards to privacy and security to include proper use of the facility directory, confidential patient status and entry of subscriber information.
Cross-trains in all registration areas and able to demonstrate proficiency in all areas.
Performs off site registrations as assigned by supervisor following all relevant procedures.
Ensures patient care is never compromised through issuing duplicate medical records in error and/or the incorrect physician assignment.
Follows all collection policies and procedures that pertain to time of service collections.
Accurately records payments using appropriate cash posting routines.
Understands the use of Credit Card Devices in regard to payments and credits.
Ensures cash is securely stored at all times and ensures all cash collected is accounted for at end of shift.
Documents all collection activities appropriately using the Collection Note routines and/or the BAR module.
Schedules examinations for future visits based on recommendations of physicians with attentions to insurance requirements.
Responsible for generating, verifying accuracy and mailing patient results letters.
Responsible for communicating with radiologist on any letters that appear to be miscoded and then need to be recoded.
Tracks all patients recommended to have additional imaging studies are contacted in a timely manner and documenting all follow up actions to achieve this.
Maintains and accuracy rate of 95-100% by remaining current with registration procedures, ensures accurate spelling of medical terms.
Ensures productivity standards are consistently met.
Continually make suggestions to improve processes.
Issues patient notices of non-coverage such as ABNs as required when testing fails to meet medical necessity.
Documents coverage status and communicates and issues appropriately.
Communicates policies effectively to patients following prescribed scripting.
Complies with departmental policies regarding self-pay and bad debt.
Reconciles daily cash following established procedures.
Communicates with both patients and physicians as needed on scheduling inconsistencies and corrections.
Maintains and adjusts examinations schedules as needed.
Ensuring letters are sent in a timely manner to comply with regulatory mandates and Hallmark benchmarks.
Tracks all patients recommended to have biopsy, initially, to ensure that information is communicated to patient and physician and, after biopsy is completed, tracking to obtain data on all biopsies results.
Ensures all cash collected is identified.
Physical Requirements:
Occasionally lift and/or move up to 25 lbs.
This is largely a sedentary role, which involves sitting most of the time, but may involve movements such as walking, standing, reaching, ascending/descending stairs and operating office equipment.
Frequently required to speak, hear, communicate and exchange information.
Ability to see and read computer displays, read fine print, and/or normal type size print and distinguish letters, numbers and symbols.
Skills & Abilities:
Excellent customer service skills and effective interpersonal communication skills; both verbal and written.
Knowledge of third-party billing requirements.
Knowledge of insurance plan requirements.
Knowledge of medical terminology.
Ability to be efficient in completing process-related tasks with minimal processing errors.
Ability to prioritize and respond effectively to multiple and /or changing job expectations.
PC knowledge.
Knowledge of ICD 9 and CPT coding.
Knowledge of all types of credit cards accepted by the organization.
Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Care at Home - an expansive home care network, and large integrated physician network. We are an equal opportunity employer and value diversity and inclusion at Tufts Medicine. Tufts Medicine does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation by emailing us at careers@tuftsmedicine.org .