Patient Access Representative

Mount Sinai Medical Center of Florida•Aventura, FL

About The Position

The Patient Access Representative provides accurate and timely patient registration for the Aventura Emergency Room, Cancer Center, and Diagnostic Center. The role includes collecting demographic and insurance information, verifying coverage, obtaining referrals and authorizations, explaining registration and financial documents, supporting up-front collections, and maintaining compliance with applicable regulations and policies. The position requires Spanish bilingual proficiency and flexibility to perform multiple functions across assigned Patient Access areas. The schedule is 40 hours per week: two 12-hour shifts and one 16-hour shift, with rotating days, nights, and weekends.

Requirements

Bilingual Spanish proficiency is required.
High school graduate or equivalent level of training.
One to three years of practical experience in registration, collections, and insurance verification is preferred.
Hospital registration or physician office front desk experience.
Strong attention to detail and ability to work in a fast-paced environment.

Nice To Haves

Some college preferred.

Responsibilities

Collect complete and accurate patient information and enter it into the system within established time frames.
Verify insurance eligibility and benefits, enter verification information, and obtain required referrals, pre-certifications, and authorizations.
Obtain and scan copies of both sides of insurance cards and a picture ID when the patient presents for service.
Provide and explain registration documents, including general consent forms, advance directive information, patient rights information, and privacy notices.
Ensure completed registration documents and orders accompany patients to the appropriate area.
Conduct a self-audit of registrations before the end of the shift to confirm information is accurate and complete.
Use Compliance Advisor functionality for Medicare compliance and enter diagnoses according to prescriptions to check ABN compliance.
Ensure registrations include the correct procedure and diagnosis, physician name and address on prescriptions or referrals, and physician signature when indicated.
Help patients understand insurance benefits and explain hospital financial and deposit policies.
Follow guidelines for up-front collections and collect and disburse revenue.
Maintain compliance with Patient Access processes and applicable federal, state, and local laws and regulatory standards.
Demonstrate flexibility and perform multiple functions across assigned Patient Access areas; cross-train for duties in those areas.