Patient Access & Insurance Verification Specialist

Mount Sinai; New York (NY); On-site; USD 40,000 - 43,000; Full time

Job summary

Mount Sinai Health System is seeking a Patient Access Representative for Insurance Verification and Authorization at Corporate 42nd St. The role involves interviewing patients by phone, collecting complete demographic and insurance data, and ensuring information is documented in the Eagle System.

Responsibilities include securing authorizations, coordinating with physicians and offices, and ensuring cases are prepared for final billing.

Qualifications

• Knowledge of the Eagle ADT system and third party Insurance verification process.
• Keypunching experience required; ability to multi-task between different systems (EPIC/EAGLE/HURON-Ontrac).

Responsibilities

• Access EPIC system to secure cases scheduled for ambulatory and in-patient procedures.
• Ensure authorization/predetermination requirements are secured based on procedure/ICD10 codes.
• Notify patients/physicians of insurance/pre-certification deficiencies.
• Review schedules to reconcile cases and ensure timely securement of services.
• Refer unsecured or underinsured cases to management and Financial Counseling as needed.
• Maintain accurate reconciliation for pre-admissions, admissions, and ambulatory surgeries.
• Document all actions with clear memo notations for audit and follow-up.

Skills

Multi-tasking across systems

Data entry accuracy

Education

High school diploma or equivalent

Tools

EPIC

Eagle ADT

HURON-Ontrac

Job description

Mount Sinai Health System is seeking a Patient Access Representative for Insurance Verification and Authorization at Corporate 42nd St. The role involves interviewing patients by phone, collecting complete demographic and insurance data, and ensuring information is documented in the Eagle System.

Responsibilities include securing authorizations, coordinating with physicians and offices, and ensuring cases are prepared for final billing.