Patient Access Representative

Mount Sinai Medical Center of Florida, Inc.; Miami Beach, Northern (FL, KY); Hybrid; USD 22,000 - 30,000; Full time

Benefits offered by this job

Health benefits

Life insurance

Long-term disability coverage

Retirement plan

Paid time off

Tuition reimbursement

Employee assistance program

Wellness program

On-site housing for select positions

Job summary

Mount Sinai Medical Center of Florida, Inc. is seeking a Patient Access Representative for the Night Shift to collect and verify patient information, ensure accurate registrations, and coordinate with care units.

You will handle insurance verification, authorizations, and patient privacy documentation in a fast-paced hospital setting. The role requires attention to detail, excellent communication, and a commitment to HIPAA compliance while guiding patients through the registration and payment

Qualifications

• High school graduate or equivalent; some college preferred.
• One year practical computer experience; three years in registration/insurance verification preferred.

Responsibilities

• Collects accurate patient information and enters it into the system within established timeframes.
• Verifies insurance eligibility, benefits, and obtains referrals, pre-certification, and/or authorizations for all patients.
• Obtains and scans copies of insurance cards and photo ID at registration.
• Explains and provides all registration documents and privacy information to patients.
• Places identification bracelets and ensures registration documents accompany patients to care areas.
• Performs end-of-shift self-audit of registrations to maintain accuracy and low error rate.

Skills

Customer service

Data entry

Communication

Education

High school diploma or equivalent

Tools

Avility Web MD

RTE applications

HPF

Job description

## Patient Access RepresentativeApply: Miami Beach, FL: Full time: Posted Today: JR104629**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:**Night Shift - 11:00P - 7:30A EST## 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 include 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.* Ensures 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 that an identification bracelet has been placed on all patients.* 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 insure that information is accurate and complete, maintaining less than 5% error ratio. Forwards copies to immediate supervisor with supportive information of incomplete tasks.* Consistently demonstrates a clear understanding of departmental needs and job functions as assigned by department Manager and/or Team Leader.* 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 revenue ensuring, at all times 100% accuracy of all ledgers and receipts, in accordance with established guidelines.* Maintains compliance of Patient Access processes and Federal State and Local Laws and regulatory standards (ACHA, HIPPA, Medicare, Medicaid, EMTALA, COBRA, etc.).* Demonstrates knowledge and proper use of HPF and QCI.* Demonstrates knowledge and proper use of Avility Web MD and RTE applications.* 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.* Verifies authorizations for service.## Qualifications* ### License/Registration/Certification + Not applicable* ### Education + High school graduate or equivalent level of training. Some college preferred* ### Experience + One year practical experience in computer usage. Three years' practical experience in registration, collections and insurance verifications preferred.**Benefits:**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 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!