Overview:
Provide radiological transcription interpretations using word processing and digital dictation equipment. Provide secretarial support, filing, receptionist and communication functions to the Interventional Radiology Department. Identifies patient preauthorizations/referral requirements and ensures they are met in a timely fashion to facilitate efficient billing and payment for elective, emergent and urgent admissions as well as add-on procedures. Demonstrates ability to work with physicians, patients, staff, and families in a professional manner. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values.
Qualifications:
Education:
High-school graduate required; Associate Degree or post-secondary education desired.
Experience:
Minimum of one year transcription experience preferred.
Medical-secretary experience preferred.
Other Knowledge/Skills/Abilities:
Minimum typing ability of 50-60 w.p.m.
Medical terminology required.
Near visual acuity to assure accurate transcription.
Demonstrates excellent customer service skills and communication skills in person, in writing and over the phone.
Proficient with personal computers and software (including Excel, Word, Outlook, PowerPoint).
Ability to multitask while working on multiple responsibilities simultaneously.
Demonstrates initiative, self-direction, motivation, and proven ability to work successfully with a variety of people and disciplines.
Responsibilities:
- Performs secretarial, transcription and insurance information duties according to established procedures.
- Transcribe radiologic interpretations using word processing and digital dictation equipment.
- Effectively perform general clerical/administrative functions for the Medical Imaging clinics.
- Coordinates and organizes with the physician office staff needed patient information including demographics, physician orders, exams, office notes, etc.
- Conduct insurance verification tasks, pre-certification, or referral information from physician offices and/or insurance companies and authorization for elective and emergent patients.
- Responsible for incoming/outgoing calls to identify patient preauthorizations/referral requirements and ensures they are met in a timely fashion.
- Knowledge of insurance requirements/guidelines, MHS Managed Care policy and procedures.
- Verify medical necessity for Medicare patients and contact ABN patients, if necessary.
- Secures authorizations for all managed care cases in a timely and thorough manner to maximize timely billing and prevent bad debt.
- Independently tracks all authorizations and maintains database of authorization information, as well as status/outcome of all requests.
- Quality checks insurance from pre-registered accounts from other areas.
- Works closely with billing and accounting staff to facilitate timely and accurate billing by quality checking accounts to prevent denials and bad debt.
- Discriminates and sets priorities for received information.
- Participates and conducts Quality Assurance activities; maintaining logs, statistical records, and data collection.
- Perform clerical duties for Hi-IQ.
- Adheres to all government and private insurance, HIPAA and JCAHO guidelines as well as patient confidentiality policies.
- Interacts with a variety of hospital personnel, doctors offices, patients, and visitors in a manner that enhances delivery of patient care and promotes positive relationships:
- Consult other departments as appropriate to provide for an interdisciplinary approach to the patients needs.
- Facilitate scheduling and registration within Medical Imaging and with other departments.
- Assists clinic in meeting goals related to quality and patient satisfaction by providing assistance, guidance, and direction to patients, in person and over the phone in a manner designed to yield a high level of patient satisfaction.
- Manage incoming mail and faxed correspondence. Assists in scanning correspondence and paper medical records and conducting quality assurance and quality audits.
- Medical Record maintenance according to policy and established procedure:
- Assembles medical records for patients chart.
- Identifies past medical records when applicable, and combines records.
- Adds reports to charts as soon as received on unit, labs, EKG, X-ray, Exams, Reports of Operation.
- Files patient data after review by nurse/radiologist.
- Prepares paperwork for patient transfer to other facilities.
- Thins charts when needed and forwards discharge patient records to Medical Records.
- Manages large amounts of sensitive, confidential information concerning patient and family information in medical documents.
- Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:
- SAFETY: Prevent Harm - I put safety first in everything I do. I take action to ensure the safety of others.
- COURTESY: Serve Others - I treat others with dignity and respect. I project a professional image and positive attitude.
- QUALITY: Improve Outcomes - I continually advance my knowledge, skills and performance. I work with others to achieve superior results.
- EFFICIENCY: Reduce Waste - I use time and resources wisely. I prevent defects and delays.
- Assists in promoting efficient functioning of the department in the interest of patient care.
- Participate in performance improvement activities for the department and organization.
- Manages pleural effusion or malignant ascites drainable catheter (PLeurX, Aspira) process.
- Performs other related work as required or requested.
The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job. Incumbents may be requested to perform tasks other than those specifically presented in this description.