Patient Access Representative

Mount Sinai Medical Center; Florida; On-site; USD 22,000 - 33,000; Full time

Benefits offered by this job

Health benefits

Life insurance

Retirement plan

Paid time off

Tuition reimbursement

Employee assistance program

Wellness program

On-site housing

Job summary

Mount Sinai Medical Center in Florida is seeking an experienced Patient Access representative for the Aventura Emergency Room, Cancer Center and Diagnostic Center. You will register patients, verify insurance, obtain referrals and authorizations, and ensure compliance with HIPAA and EMTALA.

Spanish bilingual proficiency is required; a high school diploma is required with some college preferred, and 1–3 years of hospital registration experience is ideal.

Qualifications

• Requires bilingual Spanish proficiency and a high school diploma with some college preferred.
• 1–3 years of hospital or physician office registration experience preferred.
• Strong attention to detail and ability to work in a fast-paced environment.

Responsibilities

• Provides accurate and timely patient registration, including demographic intake and insurance verification.
• Obtains authorizations and ensures compliance documentation (HIPAA, EMTALA, Medicare/Medicaid).
• Explains consent, privacy, and financial policies while supporting up-front collections.
• Verifies insurance information, eligibility, benefits, and referrals as needed (within 24 hours for scheduled patients).
• Obtains copies of insurance cards and photo ID; scans and attaches to patient records.
• Delivers and explains all registration documents and returns them with patient to the appropriate area.
• Performs self-audit of registrations to ensure accuracy and completeness; assists with ABN compliance.
• Maintains compliance with Federal, State, and Local laws and regulatory standards.

Skills

Bilingual Spanish

Attention to detail

Fast-paced environment

Excellent communication

Education

High school diploma or equivalent

Some college preferred

Job description

As Mount Sinai grows, so does our legacy in high-quality health care.Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.Culture of Caring: The Sinai WayOur hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.Department:Job Description Summary:Aventura Emergency Room, Cancer Center and Diagnostic CenterBilingual in Spanish requiredSchedule as follows: 12hr x 2 16hr x 1 = 40 hours, rotating days/nights and weekendsProvides accurate and timely patient registration, including demographic intake, insurance verification, authorizations, and compliance documentation. Ensures patient understanding of consent, privacy, and financial policies while supporting up-front collections and maintaining regulatory compliance (HIPAA, EMTALA, Medicare/Medicaid). Requires bilingual Spanish proficiency, a high school diploma (some college preferred), and 1–3 years of hospital or physician office registration experience, with strong attention to detail and ability to work in a fast-paced environment.Position ResponsibilitiesCollects accurate and complete patient information (i.e.. legal name, permanent/local address, phone number, next of kin, employer, guarantor, insurance information, physician etc., and enters in the system within the established time frames.Verifies insurance information, which include eligibility, benefits (i.e.. Deductibles, co-payments, out of pocket expenses, maximum lifetime coverage, exclusion/limitations/pre-existing conditions, etc.) and obtains appropriate referrals, pre-certification, and/or authorizations for all patient as follows: scheduled patients no later that 24 hours.Enters complete insurance verification informationEnsures that a copy of insurance cards, front and back, as well as a copy of a picture ID is obtained and scannedat time patient presents for service.Provides and explains all registration documents (i.e.. General consent forms, Advance Directive information, Patient Rights information and Privacy Notice information.After completion of registration process ensures all registration documents, as well as orders, accompany the patient to the appropriate area (i.e.. Nursing units, ancillary departments, etc.). CPrior to the end of shift conducts self-audit of all registration to insure that information is accurate and complete,Demonstrates full knowledge of Compliance Advisor's functionality as it relates to Medicare Compliance and accurately enters diagnosis according to prescription to check for ABN compliance.Ensures that every registration has attached correct procedure, diagnosis (no R/O), printed physician's name and address on RX/referral and signature of doctor when indicated.Assists patient in understanding his/her insurance benefits and explains hospital financial and deposit policies including up front collections and follows established guidelines for up-front collections and collects and disburses revenueMaintains compliance of Patient Access processes and Federal State and Local Laws and regulatory standards (ACHA, HIPPA, Medicare, Medicaid, EMTALA, COBRA, etc.).Demonstrates flexibility as well as ability to perform multiple functions within the Patient Access department.The individual is cross-trained to perform duties across various areas of areas assigned.QualificationsBilingual in Spanish requiredEducationHigh school graduate or equivalent level of training. Some college preferredExperience1-3. years' practical experience in registration, collections and insurance verifications preferred.Hospital Registration or Physician Office Front Desk experienceBenefits:We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs:Health benefitsLife insuranceLong-term disability coverageHealthcare spending accountsRetirement planPaid time offPet InsuranceTuition reimbursementEmployee assistance programWellness programOn-site housing for select positions and more!Degree Requirements:Certification: