Patient Encounter Associate-Offsite Oncology Infusion- Mount Sinai West- Full Time Days (9am-5pm)

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.

• 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 …