Patient Access Representative Hialeah ED

Patient Access Representative - Hialeah Emergency Department Full Time

12pm-8 : 30pm 5 days a week rotating weekends

Base Salary plus bonus!

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.

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 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 insure that information is accurate and complete, maintaining less than 5% error ratio. Assisting 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.
• Assist 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.
• Insure 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.

Qualifications

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. Our robust employee benefits package includes :