Clerk - Mount Sinai Brooklyn - Ambulatory Infusion/Chemotherapy Suite - Full-time day

Responsible for daily report distribution, mail room responsibilities, maintenance and oversight of department office equipment, as assigned, and depending upon departmental need.

Role & Responsibilities:

• 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 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
• Contacts patients at home to confirm scheduled and canceled appointments, as needed
• Answers phones for the practice; schedules, re-schedules and cancels patient appointments based on established protocols
• Checks in patients upon arrival at the practice and performs full registration, including: provider based registrations, verification of demographics, completion of financial screening, prioritizing and verifying insurance as appropriate with third-party providers, making follow-up appointments, directing the patient to a member of the billing team to discuss MSMC’s 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 deposit
• Facilitates prior authorization and appointment scheduling for diagnostic testing requested by providers for patients in the electronic health record (EHR)
• 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 electronic health record (EHR) 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
• Maintains all physicians and chemo/infusion schedules in Centricity Business (IDX/eIDX), ensuring that all patients are arrived in “real time”. Also, responsible for making sure that at the end of business day that no patient is left in a “PEN” status
• Completes a visit encounter and enters the ICD10 into the Eagle system for all straight teaching visits.
• Collects copies and distributes referrals to the billing representative as indicated on the computer systems.
• Responsible for the distribution of metro-cards using web-based program, i.e., PTAR; or manual entry if computer system is malfunctioning.
• Assembles all necessary paperwork; i.e., demographics, labels, distress thermometers, etc., for both physician and chemo/infusion practices, daily for the following day.
• Assist with the collection of the department’s quality improvement tools, i.e., Meaningful Use measures
• Helps to maintain a quiet, therapeutic and clean environment Adheres to legal and ethical standards
• Other duties as assigned.

Requirements:

• High School Diploma required, Associate degree preferred
• 1-year physician practice experience.  Preferred: experience in a medical office setting, utilizing a computer system for physician scheduling
• Microsoft Office Suite
• Ability to handle multiple priorities and to deal calmly with individuals und