Patient Access Representative

Mount Sinai Medical Center•Aventura, FL

6d•Onsite

About The Position

The Patient Access Representative provides accurate and timely patient registration, including demographic intake, insurance verification, authorizations, and compliance documentation. The role helps patients understand consent, privacy, insurance benefits, and financial policies, and supports up-front collections while maintaining regulatory compliance. The representative may be cross-trained to perform duties across assigned areas of the Patient Access department. The position is based in the Aventura Emergency Room, Cancer Center and Diagnostic Center. Spanish bilingual proficiency is required. 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 diploma or equivalent level of training.
Hospital registration or physician office front desk experience.
Strong attention to detail and ability to work in a fast-paced environment.
Practical experience in registration, collections, and insurance verification is preferred; 1–3 years is stated in the job summary.

Nice To Haves

Some college preferred.
Practical experience in registration, collections, and insurance verification is preferred.

Responsibilities

Collect complete and accurate patient demographic, contact, guarantor, insurance, and physician information, and enter it into the system within established time frames.
Verify insurance eligibility and benefits, and obtain required referrals, pre-certifications, and authorizations; scheduled patients' requirements must be completed no later than 24 hours in advance.
Enter complete insurance verification information.
Obtain and scan copies of both sides of insurance cards and a copy of the patient's 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 the patient to the appropriate area.
Conduct a self-audit of registrations before the end of each shift to ensure information is accurate and complete.
Use Compliance Advisor functionality for Medicare compliance and enter diagnoses according to prescriptions to check for ABN compliance.
Ensure each registration has the correct procedure and diagnosis, no rule-out diagnosis, the physician's printed name and address on the prescription or referral, and the physician's signature when indicated.
Help patients understand their insurance benefits and explain hospital financial and deposit policies, including up-front collections; follow collection guidelines and collect and disburse revenue.
Maintain compliance with Patient Access processes and applicable federal, state, and local laws and regulatory standards, including ACHA, HIPAA, Medicare, Medicaid, EMTALA, and COBRA.
Demonstrate flexibility and perform multiple functions within the Patient Access department, including cross-trained duties across assigned areas.