Lead Admitting Specialist (Registration & Insurance)

Larkin Community Hospital; Florida; On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Health insurance

Life insurance

Disability plan

401(k) with match

Employee assistance program

Paid time off (PTO) and disability PTO

Job summary

Larkin Community Hospital South Miami Campus is seeking a Senior Admitting Representative to manage patient registrations and admissions for inpatient, outpatient, observation, surgical, and ED services. You will mentor staff and resolve complex insurance issues to ensure a smooth, compassionate patient experience in accordance with HIPAA and EMTALA.

This full-time position emphasizes accuracy, teamwork with nursing and case management, and maintaining high-quality registrations while supporting

Qualifications

• High school diploma or GED; associate degree or college coursework preferred.
• Minimum three (3) years of experience in hospital admitting, patient registration, or patient access, including emergency department and inpatient registration.
• Prior lead, preceptor, or training experience preferred.
• Strong working knowledge of medical terminology, insurance verification and authorization processes, and third-party payers (Medicare, Medicaid, managed care/HMO, commercial insurance).

Responsibilities

• Performs all duties of the Admitting Representative, including accurate and complete registration and admission of inpatient, outpatient, observation, surgical, and emergency department patients.
• Serves as the lead resource for Admitting Representatives, answering questions, resolving complex registration and insurance issues, and providing guidance on departmental policies and procedures.
• Trains, orients, and mentors new and existing Admitting Representatives and provides ongoing coaching and competency support.
• Handles escalated patient and family concerns and difficult registration situations, involving the Supervisor when appropriate.
• Monitors registration accuracy and quality; reviews work queues, error reports, and audit findings; corrects and communicates errors to support clean claims.
• Obtains and verifies patient demographic, guarantor, and insurance information; verifies insurance eligibility and benefits and secures pre-certifications, authorizations, and referrals as required.
• Explains and obtains signatures on required documents, including Consent for Treatment, Assignment of Benefits, Notice of Privacy Practices, Patient Rights, advance directive acknowledgment, and applicable Medicare forms, and ensures staff compliance with these requirements.
• Verifies patient identity using two identifiers and prepares and applies patient identification bands.
• Coordinates bed assignments and admissions with the nursing supervisor, case management, and ancillary departments.
• Ensures registration for emergency department patients is completed in compliance with EMTALA; never delays medical screening or treatment for financial reasons.
• Refers uninsured or underinsured patients to financial counseling and Medicaid eligibility resources.
• Assists the Supervisor with daily staffing assignments, shift coverage, and workflow adjustments, and serves as the department point of contact in the Supervisor's absence.
• Assists with the development and updating of departmental procedures, job aids, and training materials.
• Answers telephones, pre-registers and schedules patients, and directs inquiries to the appropriate department.
• Maintains patient confidentiality and complies with HIPAA and hospital confidentiality requirements.
• Maintains a clean, safe, and organized work area and patient waiting area.
• Performs additional duties as assigned by the Supervisor, Director, or designee.

Skills

Bilingual English/Spanish

Customer service

Training/Mentoring

Registration workflows

Insurance eligibility

HIPAA compliance

EHR proficiency

Attention to detail

Multitasking

Communication skills

Education

High school diploma or GED

Associate degree preferred

Job description

Larkin Community Hospital South Miami Campus is seeking a Senior Admitting Representative to manage patient registrations and admissions for inpatient, outpatient, observation, surgical, and ED services. You will mentor staff and resolve complex insurance issues to ensure a smooth, compassionate patient experience in accordance with HIPAA and EMTALA.

This full-time position emphasizes accuracy, teamwork with nursing and case management, and maintaining high-quality registrations while supporting