About The Position

The Patient Encounter Associate performs support functions related to patient reception, scheduling, and financial pre-clearance to promote patient satisfaction and appropriate reimbursement. The role includes scheduling, preregistration, self-pay screening, insurance eligibility determination, and obtaining and verifying patient demographic and insurance information. The associate determines insurance or payment sources, identifies authorization or referral requirements, and helps resolve insurance issues. The position is based at the Ruttenberg Cancer Center at Mount Sinai Hospital. The schedule description lists 9 a.m.–5 p.m. during probation, followed by 11 a.m.–7 p.m. four days per week, with a Saturday or Sunday shift every weekend from either 7 a.m.–3 p.m. or 8 a.m.–4 p.m. At least one week of on-site training is provided by the practice.

Requirements

  • High school diploma or GED.
  • At least one year of physician practice experience.
  • Must complete a minimum of one week of on-site training provided by the practice.

Nice To Haves

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

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 preregistration, ensuring entries are complete and accurate.
  • Answer practice phones and schedule, reschedule, or cancel patient 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 appointment scheduling, discussion of the self-pay policy with new patients, completion of the Medicare as Secondary Payer questionnaire when appropriate, and obtaining the patient's signature on NOPP.
  • Ensure patients have paid or collect the appropriate copay under billing management direction, and provide receipts according to cash-control protocols.
  • Perform simple to moderately complex charge entry or enter patient payments and prepare the cashier's deposit, as applicable; these mutually exclusive duties may not be performed by the same employee.
  • Facilitate prior authorization and schedule provider-requested diagnostic testing for patients in EPIC.
  • Monitor the waiting room and advise patients of wait times.
  • Work collaboratively 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 about registration and change-posting issues that negatively affect operations, and participate in system development and process improvement.
  • Follow HIPAA and other federal and state requirements for handling protected health information documents.
  • Perform other duties as assigned.
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