Patient Encounter Associate - Ruttenberg Cancer Center - Mount Sinai Hospital - Full Time Days
About The Position
The 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
- Associates degree preferred
- 1 year physician practice experience.
- Must have a minimum of one week training on-site which will be provided by practice.
Nice To Haves
- experience in a medical office setting, utilizing a computer system for physician scheduling
Responsibilities
- Greets patients in person and by telephone and updates 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 MSMCs self-pay policy for new patients, completing of Medicare as Secondary Payer questionnaire if appropriate, and having patient read and sign NOPP.
- 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.
- 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 change 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.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
