Imaging Authorizations & Front Office

Description

Front Office Responsibilities

1. Patient Reception:

   • Greet patients and visitors warmly.
   • Verify patient identity and ensure correct demographic information is recorded.

2. Appointment Scheduling:

   • Schedule and confirm patient appointments for imaging procedures.
   • Manage the appointment calendar to optimize scheduling efficiency.

3. Check-In Process:

   • Collect and verify insurance information.
   • Ensure necessary paperwork is completed and accurate.

4. Communication:

   • Answer phone calls and respond to inquiries regarding services, procedures, and insurance.
   • Provide patients with information about their appointments and any required preparations.

5. Record Management:

   • Maintain and update patient records, ensuring compliance with privacy regulations (e.g., HIPAA).
   • Ensure that imaging orders are complete and properly documented.

6. Billing Support:

   • Assist in collecting co-pays and outstanding balances.
   • Provide patients with information regarding costs and payment options.

Authorization Responsibilities

1. Insurance Verification:

   • Verify insurance coverage and benefits for imaging services.
   • Determine eligibility for specific procedures.

2. Prior Authorizations:

   • Obtain prior authorizations from insurance companies when required.
   • Follow up on pending authorizations to ensure timely processing.

3. Documentation:

   • Prepare and submit necessary documentation to insurance providers.
   • Maintain records of authorization requests and responses.

4. Coordination with Clinical Staff:

   • Collaborate with radiologists and technologists to ensure all necessary clinical information is provided for authorization requests.
   • Communicate any issues or delays in authorization to the relevant staff.

5. Patient Education:

   • Inform patients about their financial responsibilities and what to expect regarding insurance coverage and authorization processes.

6. Compliance:

   • Stay updated on insurance policies and changes in authorization requirements.
   • Ensure compliance with regulations and internal policies regarding authorizations and patient information.

Qualifications

• Strong organizational and multitasking abilities.
• Excellent communication and interpersonal skills.
• Familiarity with medical terminology and insurance processes.
• Proficient in using electronic health record (EHR) systems and scheduling software.
• Attention to detail and a commitment to maintaining patient confidentiality.