Imaging Resource Specialist II – Full Time – Weymouth

Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical practice locations in eastern Massachusetts. Atrius Health’s 645 physicians and primary care providers, along with 420 additional clinicians, work in close collaboration with hospital partners, community specialists and skilled nursing facilities. Our vision is to transform care to improve lives. Atrius Health provides high-quality, patient-centered, coordinated, cost effective care to every patient we serve. By establishing a solid foundation of shared decision making, understanding and trust with each of its patients, Atrius Health enhances their health and enriches their lives. Atrius Health is part of Optum, a health services company focused on building the leading value-based care system in the country.

SUMMARY

Responsible for ensuring that imaging/radiology patients are accurately scheduled for their tests and registered into the practice management system. The scheduling responsibilities include: conducting patient safety assessments, determining appropriate appointment length, and providing patient testing instructions. Obtains necessary authorizations for Imaging/Radiology exams. Ensures that all necessary documentation and preparatory activities have been completed and that proper authorizations are in the record before and/or after visits have occurred. Utilizes a thorough knowledge base on a range of referral-related issues, keeping current on the policies and procedures of a multitude of current insurance payors. Researches referral and provider information as needed. Also responsible for coordinating and facilitating the processing of patients with job related injuries or illnesses. Serves as the contact person for the patient, employer, insurer, utilization review agents, and practice staff members.

EDUCATION/LICENSES/CERTIFICATIONS

High School diploma or equivalency certificate (e.g. GED, HiSET, TASC Test) from an accredited institution or governmental unit required. Proficient use of medical office and medical terminology required.

EXPERIENCE

Experience typically acquired through at least three years of experience in a clinical and/or customer service setting including direct or indirect involvement with Radiology/Imaging exams, and with at least one year experience directly involved in scheduling or insurance authorization for Imaging/Radiology studies. Knowledge regarding Imaging/Radiology procedures required. Knowledge and understanding of various health insurance plans required. Experience with third party billing and collections preferred. Previous health care business office experience, exposure to workers’ compensation cases and procedures, and experience with CPT and ICD coding preferred. Computer experience required with ability to use Microsoft Office software, particularly Outlook and Excel spreadsheets. Highly skilled and proficient with keyboarding.

SKILLS

Strong interpersonal, customer service, time management and organizational skills required.

Familiarity with insurance coverage and health care terminology. Excellent research capabilities on the internet needed to determine insurance benefits and find provider information. Able to explain referral requirements to both staff and patients. Able to work independently as well as to network effectively internally with other department staff. Able to work with a high level of detail in a busy and demanding environment. Able to utilize electronic communication in a clear, accurate and professional manner (position requires constant electronic communication between staff, leadership and providers).

Atrius Health is committed to a policy of non-discrimination and equal employment opportunity. All patients, employees, applicants, and other constituents of Atrius Health will be treated with respect and dignity regardless of race, national origin, gender, age, religion, disability, veteran status, marital/domestic partner status, parental status, sexual orientation and gender identity and/or expression, or other dimensions of diversity.

Excellent benefits Include:

• Up to 8% company retirement contribution,

• Generous Paid Time Off,

• 10 paid holidays,

• Paid professional development,

• Competitive health and welfare benefit package.