Radiology ASR

ummh; Worcester (MA); On-site; USD 29,000 - 40,000; Full time

Benefits offered by this job

Signing bonus (possible)

Job summary

UMass Memorial Health is seeking an experienced Administrative Clerk to support ambulatory care operations. You will greet patients, verify demographics and insurance, collect co-pays, and obtain authorizations as needed, ensuring smooth patient flow.

In this role you will handle scheduling across multiple providers, liaise with insurers, assist with financial counseling, and maintain accurate documentation while upholding confidentiality and high-quality patient care.

Qualifications

• Experience handling patient appointments and scheduling workflows.
• Knowledge of insurance verification and pre-authorization processes.
• Proficient in collecting co-pays and processing payments accurately.
• Strong communication with patients, clinicians and insurers.

Responsibilities

• Greets visitors and patients for scheduled and urgent appointments.
• Verifies patient demographic and insurance information.
• Collects co-payments from patients upon arrival.
• Obtains signatures for treatment authorization and billing details.
• Assists with financial counseling, interpreter services, and referrals as needed.
• Receives and directs phone calls and routes messages.
• Schedules urgent care appointments and coordinates multiple providers.
• Collaborates with insurers to obtain prior-authorizations.
• Reviews billing discrepancies and maintains accurate records.

Skills

Insurance verification

Appointment scheduling

Billing & co-pay collection

Patient communication

Job description

Exemption Status

Non-Exempt

Hiring Range

$20.94 - $29.27 (based on a full time schedule of 40 hours per week).

Please note that the final offer will vary based on scheduled hours. Compensation for part-time or reduced schedules will be prorated based on scheduled weekly hours, experience, skills, qualifications, and internal equity considerations.

Schedule Details

• Monday through Friday
• Scheduled Hours: 8:00am-4:30pm
• Shift: 1 - Day Shift, 8 Hours (United States of America)
• Hours: 32
• Cost Center: 10020 - 3522 Radiology Clerical
• Union: SHARE (State Healthcare and Research Employees)
• This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

Everyone Is a Caregiver

At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.

I. Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs

II. Major Responsibilities:

1. Greets visitors and/or patients for scheduled and/or urgent care appointments and procedures.
2. Confirms and verifies patient demographic and insurance information.
3. May collect co-payments from patients upon arrival.
4. Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information.
5. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area.
6. Receives and directs phone calls.
7. Connects the patient's call to the provider or responds to the patient and takes messages as directed.
8. Schedules urgent care appointments as needed and directed by clinicians.
9. Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria.
10. Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of clinical staff, as well as resources.
11. Ensures tests and procedural prep information is provided to patients verbally, mail, and/or by the patient portal as necessary.
12. Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed.
13. Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and clinician referrals for treatment are obtained prior to patient visits.
14. Complies with referral management regulations.
15. Verifies eligibility for procedures or tests from various health care institutions.
16. Follows up to correct discrepancies.
17. May facilitate patient prescription renewal matters, (via telephone, fax, and email), within scope of authority as directed by clinicians.
18. Preps the patient's information for clinicians for scheduled patient visits as needed.
19. Scrubs Patient Encounter information and submits electronically.
20. Reviews and audits billing discrepancy reports and researches errors for resolution as directed by office or clinical management.
21. Maintains accurate and timely records, logs, charges, files, and other related information as required.
22. Performs a variety of related administrative and clerical duties, such as retrieving files distributing mail and other records, faxing, collating, data entry, and relaying messages to clinicians, residents and staff.
23. May prepare special reports or spreadsheets for clinicians as requested.
24. Collects co-payments from patients for visits, maintains records or makes daily cash deposits from patient visits.
25. Calculates daily totals of co-payments received for submission to the second tier for co-payment reconciliation.
26. Composes, or selects standard form letters for clinician's response to routine inquiries and procedures, such as back-to-school authorizations.

Standard Staffing Level Responsibilities:

1. Complies with established departmental policies, procedures and objectives.
2. Attends variety of meetings, conferences, seminars as required or directed.
3. Demonstrates use of Quality Improvement in daily operations.
4. Complies with all health and safety