About The Position

The Per Diem Patient Encounter Associate performs support functions related to patient reception, scheduling, and financial pre-clearance to promote patient satisfaction and reimbursement. Duties include scheduling and pre-registration, self-pay screening, insurance eligibility determination, obtaining and verifying patient demographic and insurance information, determining insurance or payment source, identifying authorization and referral requirements, and helping resolve insurance issues. The position is in the Cardiac Cath Lab at Mount Sinai Hospital.

Requirements

  • High school diploma or GED.
  • One year of physician practice experience.
  • Complete at least one week of on-site training provided by the practice.

Nice To Haves

  • Associate degree preferred.
  • Experience in a medical office setting preferred.
  • Experience using a computer system for physician scheduling preferred.

Responsibilities

  • Greet patients in person and by telephone and update insurance and demographic information in the practice management system.
  • Gather and enter registration and financial information for patient pre-registration, ensuring entries are complete and accurate.
  • Answer practice phones and schedule, reschedule, or cancel appointments according to established protocols.
  • Contact patients at home to confirm scheduled and canceled appointments.
  • Check in patients and complete registration, including demographic verification, financial screening, insurance verification and prioritization, follow-up appointments, discussion of the self-pay policy for new patients, completion of Medicare as Secondary Payer questionnaires when appropriate, and obtaining signed NOPP forms.
  • Ensure patients have paid or collect the appropriate co-pay under billing management direction, and provide receipts according to cash-control protocols.
  • May perform simple to moderately complex charge entry or enter patient payments and prepare the cashier's deposit; these duties are mutually exclusive and may not be performed by the same employee.
  • Facilitate prior authorization and scheduling for diagnostic testing requested by providers for patients in EPIC.
  • Regularly review the waiting room and advise patients of wait times.
  • Work with other hospital departments to ensure prior approval and other required procedures are completed before care is delivered.
  • Reconcile the daily patient schedule with closed encounters.
  • Work billing edit reports and review encounters that may require correction.
  • Scan documents into EPIC daily.
  • Provide feedback to the Manager on registration and change-posting issues that affect operations, and participate in system development and process improvement.
  • Follow HIPAA and other federal and state requirements for handling protected health information.
  • Perform other duties as assigned.
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