Mount Sinai Medical Center
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 CC019046 MS Cancer Center Patient Access
Job Description Summary Position responsibilities include:
Collect accurate and complete patient information (e.g., legal name, permanent/local address, phone number, next of kin, employer, guarantor, insurance information, physician, etc.) and enter it in the system within the established time frames.
Verify insurance information, including eligibility, benefits (e.g., deductibles, copayments, out‑of‑pocket expenses, maximum lifetime coverage, exclusions/limitations/pre‑existing conditions, etc.) and obtain 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.
Enter complete insurance verification information, including eligibility, benefits, in the insurance verification screen and note fields.
Ensure a copy of insurance cards (front and back) and a picture ID are obtained and scanned at time of patient service.
Provide and explain all registration documents (e.g., general consent forms, advance directive information, patient rights information, and privacy notice).
After completion of registration, ensure that an identification bracelet has been placed on all patients.
After completion of registration, ensure all registration documents, as well as orders, accompany the patient to the appropriate area (e.g., nursing units, ancillary departments, etc.) and communicate all pertinent information regarding the patient to the appropriate departments and patient care units.
Prior to the end of shift, conduct a self‑audit of all registrations to ensure that information is accurate and complete, maintaining less than 5% error ratio. Forward copies to the immediate supervisor with supporting information of incomplete tasks.
Consistently demonstrate a clear understanding of departmental needs and job functions as assigned by the department manager and/or team leader.
Demonstrate full knowledge of the Compliance Advisor’s functionality as it relates to Medicare compliance and accurately enter diagnosis according to prescription to check for ABN compliance.
Ensure that every registration has attached the correct procedure, diagnosis (no R/O), printed physician’s name and address on RX/referral, and signature of doctor when indicated.
Assist patients in understanding their insurance benefits and explain hospital financial and deposit policies, including up‑front collections. Follow established guidelines for up‑front collections and collect and disburse revenue, ensuring at all times 100% accuracy of all ledgers and receipts in accordance with established guidelines.
Maintain compliance of Patient Access processes and Federal, State, and Local Laws and regulatory standards (ACHA, HIPAA, Medicare, Medicaid, EMTALA, COBRA, etc.).
Demonstrate knowledge and proper use of RMS scheduling program, HPF and QCI, and Avility Web MD and RTE applications.
Demonstrate flexibility and the ability to perform multiple functions within the Patient Access department.
Register patients in the particular area of assignment.
Verify 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. One year practical experience in registration, collections and insurance verifications 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
On‑site housing for select positions and more!
Seniority level Entry level
Employment type Full‑time
Job function Health Care Provider
Industry: Hospitals and Health Care
#J-18808-Ljbffr
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 CC019046 MS Cancer Center Patient Access
Job Description Summary Position responsibilities include:
Collect accurate and complete patient information (e.g., legal name, permanent/local address, phone number, next of kin, employer, guarantor, insurance information, physician, etc.) and enter it in the system within the established time frames.
Verify insurance information, including eligibility, benefits (e.g., deductibles, copayments, out‑of‑pocket expenses, maximum lifetime coverage, exclusions/limitations/pre‑existing conditions, etc.) and obtain 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.
Enter complete insurance verification information, including eligibility, benefits, in the insurance verification screen and note fields.
Ensure a copy of insurance cards (front and back) and a picture ID are obtained and scanned at time of patient service.
Provide and explain all registration documents (e.g., general consent forms, advance directive information, patient rights information, and privacy notice).
After completion of registration, ensure that an identification bracelet has been placed on all patients.
After completion of registration, ensure all registration documents, as well as orders, accompany the patient to the appropriate area (e.g., nursing units, ancillary departments, etc.) and communicate all pertinent information regarding the patient to the appropriate departments and patient care units.
Prior to the end of shift, conduct a self‑audit of all registrations to ensure that information is accurate and complete, maintaining less than 5% error ratio. Forward copies to the immediate supervisor with supporting information of incomplete tasks.
Consistently demonstrate a clear understanding of departmental needs and job functions as assigned by the department manager and/or team leader.
Demonstrate full knowledge of the Compliance Advisor’s functionality as it relates to Medicare compliance and accurately enter diagnosis according to prescription to check for ABN compliance.
Ensure that every registration has attached the correct procedure, diagnosis (no R/O), printed physician’s name and address on RX/referral, and signature of doctor when indicated.
Assist patients in understanding their insurance benefits and explain hospital financial and deposit policies, including up‑front collections. Follow established guidelines for up‑front collections and collect and disburse revenue, ensuring at all times 100% accuracy of all ledgers and receipts in accordance with established guidelines.
Maintain compliance of Patient Access processes and Federal, State, and Local Laws and regulatory standards (ACHA, HIPAA, Medicare, Medicaid, EMTALA, COBRA, etc.).
Demonstrate knowledge and proper use of RMS scheduling program, HPF and QCI, and Avility Web MD and RTE applications.
Demonstrate flexibility and the ability to perform multiple functions within the Patient Access department.
Register patients in the particular area of assignment.
Verify 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. One year practical experience in registration, collections and insurance verifications 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
On‑site housing for select positions and more!
Seniority level Entry level
Employment type Full‑time
Job function Health Care Provider
Industry: Hospitals and Health Care
#J-18808-Ljbffr