Mount Sinai Medical Center of Miami Beach - Miami Beach, FL
posted 13 days ago
About the position
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. 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.
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 it in the system within the established time frames.
- Verifies and enters completed insurance 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 and obtains appropriate referrals, pre-certification and/or authorizations for all patients as follows: scheduled patients no later than 24 hours, unscheduled patients at point of service within the established time frames.
- 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. Assists to maintain the Patient Access monthly audit goal of 100%. Audit includes opt-out information, correct insurance plans, authorization ID numbers, Patient Types, Duplicate Medical Record Numbers, ACHA and MSP information.
- Assists patients 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.
- Ensures that every registration has attached the correct prescription for procedure diagnosis (no R/O), hospital name printed, physician's name, address on RX/referral, and signature of physician.
Requirements
- One year prior experience in hospital registration, collections, and insurance verifications preferred.
- Excellent communication and customer service skills.
- Bilingual in Spanish desired.
- High school graduate or equivalent level of training. Some college preferred.
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
