Patient Access Representative

Mount Sinai Medical Center; Miami Beach (FL); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Health benefits

Life insurance

Long-term disability

Healthcare spending accounts

Retirement plan

Paid time off

Pet Insurance

Tuition reimbursement

Employee assistance program

Wellness program

On-site housing

Job summary

Mount Sinai Medical Center in Miami Beach is seeking a dedicated Patient Access professional to join our Cancer Center team on site. The role centers on accurate patient registration and insurance verification, with emphasis on data integrity and timely processing.

This is a day-shift role from Monday to Friday. The ideal candidate is bilingual in Spanish, capable of communicating insurance details and hospital policies, and comfortable coordinating with care units.

Qualifications

• High school graduate or equivalent; some college preferred.
• One year practical experience in registration, collections and insurance verifications preferred.
• Bilingual in Spanish.

Responsibilities

• Collects accurate and complete patient information and enters it in the system within established time frames.
• Verifies insurance information and obtains referrals, pre-certification, and/or authorizations; schedules as required.
• Enters complete insurance verification information in the system and notes fields.
• Provides and explains registration documents (consent forms, Advance Directive, Patient Rights, Privacy Notices).
• Ensures documents accompany the patient to the appropriate care units and communicates pertinent information to departments.
• Performs end-of-shift self-audit to maintain accuracy and forwards results to supervisor.
• Assists patients in understanding insurance benefits and hospital financial policies, including upfront collections.
• Registers patients in assigned area and verifies service authorizations.

Skills

Bilingual in Spanish

Education

High school graduate or equivalent

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 Way

Our 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:

On site in the Cancer Center on Miami Beach

Bilingual in Spanish required.

Schedule: M-F 8:30 AM to 5 PM. - Flexible to work before or after scheduled time as needed. (6:30 AM and close at 7 PM)

Base salary plus monthly bonus

Position Responsibilities

• Collects 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. Unscheduled patients at point of service within the established time frames.
• Enters complete insurance verification information, which includes eligibility, benefits (i.e.. Deductibles, co-payments, out of pocket expenses, maximum lifetime coverage, exclusion/limitations/pre-existing conditions, etc.) in the insurance verification screen and note fields.
• 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.). Communicates all pertinent information regarding the patient to the appropriate departments patient care units.
• Prior to the end of shift conducts self-audit of all registration to ensure that information is accurate and complete, maintaining less than 5% error ratio. Forwards copies to immediate supervisor with supportive information of incomplete tasks.
• Assists patient in understanding his/her insurance benefits and explains hospital financial and deposit policies including up front collections. Follows established guidelines for up-front collections and collects and disburses revenue ensuring at all times 100% accuracy of all ledgers and receipts in accordance with established guidelines.
• Demonstrates flexibility as well as ability to perform multiple functions within the Patient Access department.
• Registers patients in particular area of assigment.
• Verifies authorizations for service.

Qualifications

• Education
  • High school graduate or equivalent level of training. Some college preferred
• Experience
  • One year practical experience in registration, collections and insurance verifications preferred.
  • Bilingual in Spanish

Benefits

• Health benefits
• Life insurance
• Long-term disability coverage
• Healthcare spending accounts
• Retirement plan
• Paid time off
• Pet Insurance
• Tuition reimbursement
• Employee assistance program
• Wellness program
• On-site housing for select positions and more!