Front Desk Receptionist

Patient Access Representative (Outpatient Rehab)

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:

• Verifies insurance eligibility obtaining appropriate pre-certification and/or authorizations for all pre-registered patients no later than 24hrs prior to scheduled services documenting in Star system verification approval screen.
• Accurately and efficiently enters all patient data in to Star System, insuring notes for financial follow-up by authorization unit/financial counselors, has been entered into Star Systems insurance screen and Medicare Secondary Payor Form (MSP) has been completed if applicable
• Explains all documents/consents i.e. consent for treatment, authorization to release information, advance directive acknowledgements, and patient rights/responsibilities) and obtains signatures.
• Greets all patients when they arrive for their appointments. Checks their status and announces their arrival to the therapists. Makes all transportation arrangements for patients that require assistance.
• Follow facility's guidelines for upfront collections(i.e. copays, deductibles, selfpay) at 100% logging ledgers and receipts accurately.
• Enters specific therapy related occurrence codes as required and maintains accuracy of codes on subsequent registrations throughout the treatment duration.
• Schedules initial evaluation and ongoing therapy appointments in RMS scheduling program accurately for appropriate therapist and within allowed insurance parameters, provides patient a copy and places copy in patient chart.
• Obtains Patient Outcome (FOTO) Surveys and ensures accurate entry into the computer program by the patients and therapists.
• Maintains all medical records following the Health Information Management policies and procedures.
• Notifies therapist and patient approximately one week prior to the expected expiration of insurance coverage and notifies therapist of documentation requirements to obtain further coverage for the specific insurance company. Processes therapists requests for further insurance coverage via contacting insurance company or physician office and providing all required documentation required; and makes routine follow-up contact on a daily basis until response is received and process is complete. Notifies appropriate parties (patient, therapist, MD) of final determination of insurance request and accurately records response in STAR and patient chart.
• Completes charge posting functions to include accurately posting patient charges and reconciling posted charges on a daily basis.
• Reviews patient discharge charts bi-weekly to ensure all documentation is complete, dated and signed. Flags charts for any missing/incomplete information and returns charts to therapists for completion. Compiles list of discharge patients and completes Series Discharge function in STAR registration program.
• Monitors physician signature procedures on evaluation, monthly recertification, and discharge summary forms and make follow-up calls to ensure physician signatures are received in a timely manner to enable continuity in patient care.
• Answers the telephone by the third ring and addresses the callerss issues in a timely manner.

Qualifications:

• High school graduate or equivalent level of training. Some college preferred
• One year practical experience in computer usage. One year prior expiernce in registration, collections and insurance verifications preferred. Excellent communication and customer service skills.

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:

• 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!