Oncology Infusion Patient Encounter Associate - Chemo Suite - Mount Sinai West Full Time Days

Mount Sinai Health System•New York, NY

11d•Onsite

About The Position

The Offsite Oncology Infusion Patient Encounter Associate performs all support functions related to patient reception, scheduling and financial pre-clearance, ensuring a high degree of patient satisfaction and maximum reimbursement to the institution. Responsibilities include but are not limited to: scheduling, pre-registration, self-pay screening and insurance eligibility determination. Responsible for obtaining and verifying patient demographic and insurance information, determining insurance/payment source, identifying necessary authorization or referral requirements, and assisting with determining and resolving insurance issues.

Requirements

HS/GED
1 year physician practice experience.
Must have a minimum of one week training on-site which will be provided by practice.

Nice To Haves

Associates degree preferred
Experience in a medical office setting, utilizing a computer system for physician scheduling.

Responsibilities

Greets patients in person and by telephone and upgrades their insurance/demographic information in the practice management system.
Gathers registration and financial information for patient pre-registration, enters the information into the practice management system and ensures all entries are complete and accurate.
Answers phones for the practice; schedules, re-schedules and cancels patient appointments based on established protocols.
Contacts patients at home to confirm scheduled and canceled appointments.
Checks in patients upon arrival at the practice and performs full registration, including: verification of demographics, completion of financial screening, prioritizing and verifying insurance as appropriate with third-party providers, making follow-up appointments, discussing Hospitals self-pay policy for new patients, completing of Medicare as Secondary Payer questionnaire if appropriate, and having patient read and sign all relevant notifications.
Ensures the patient has paid, or collects, the appropriate co-pay under the direction of billing management, and provides the patient with a receipt as per cash-control protocols.
May perform simple to moderately-complex charge entry tasks or enter payments collected from patients and prepares Cashiers deposit. Note: duties are mutually exclusive and may not be performed by the same employee.
Distributes Metro Cards to patients upon determining eligibility via standard protocols and available electronic verification systems. Reconciles Metro Card allocation and distribution with management on a daily basis.
Checks out patients after visits completed, scheduling subsequent visits as requested by the clinical team and following departmental guidelines and standards.
Facilitates prior authorization and appointment scheduling for diagnostic testing requested by providers for patients in EPIC.
Reviews status of waiting room on a regular basis and advises patients of wait times.
Ensures prior approval and other required procedures are met prior to delivery of care, by working collaboratively with other hospital departments.
Reconciles daily patient schedule with encounters closed.
Works billing edit reports and reviews encounters which may require correction.
Scans documents into EPIC on a daily basis.
Participates in system development and process improvement by providing feedback to Manager regarding issues in registration and charge posting that impact negatively on operations.
Follows all HIPAA and other federal/state agency requirements regarding proper handling of PHI documents.
Other duties as assigned.