Patient Access Representative

Aventura Emergency Room, Cancer Center and Diagnostic CenterBilingual in Spanish requiredSchedule as follows: 12hr x 2 16hr x 1 = 40 hours, rotating days/nights and weekendsProvides accurate and timely patient registration, including demographic intake, insurance verification, authorizations, and compliance documentation. Ensures patient understanding of consent, privacy, and financial policies while supporting up-front collections and maintaining regulatory compliance (HIPAA, EMTALA, Medicare/Medicaid). Requires bilingual Spanish proficiency, a high school diploma (some college preferred), and 13 years of hospital or physician office registration experience, with strong attention to detail and ability to work in a fast-paced environment.Position ResponsibilitiesCollects 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 insurance information, which include eligibility, benefits (i.e. deductibles, co-payments, out of pocket expenses, maximum lifetime coverage, exclusion/limitations/pre-existing conditions, etc.) and obtains appropriate referrals, pre-certification, and/or authorizations for all patient as follows: scheduled patients no later that 24 hours.Enters complete insurance verification informationEnsures that a copy of insurance cards, front and back, as well as a copy of a picture ID is obtained and scanned at time patient presents for service.Provides and explains all registration documents (i.e. General consent forms, Advance Directive information, Patient Rights information and Privacy Notice information.After completion of registration process ensures all registration documents, as well as orders, accompany the patient to the appropriate area (i.e. Nursing units, ancillary departments, etc.). CPrior to the end of shift conducts self-audit of all registration to insure that information is accurate and complete,Demonstrates full knowledge of Compliance Advisor's functionality as it relates to Medicare Compliance and accurately enters diagnosis according to prescription to check for ABN compliance.Ensures that every registration has attached correct procedure, diagnosis (no R/O), printed physician's name and address on RX/referral and signature of doctor when indicated.Assists 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 revenueMaintains compliance of Patient Access processes and Federal State and Local Laws and regulatory standards (ACHA, HIPPA, Medicare, Medicaid, EMTALA, COBRA, etc.).Demonstrates flexibility as well as ability to perform multiple functions within the Patient Access department.The individual is cross-trained to perform duties across various areas of areas assigned.QualificationsBilingual in Spanish requiredEducation: High school graduate or equivalent level of training. Some college preferredExperience: 1-3. years' practical experience in registration, collections and insurance verifications preferred. Hospital Registration or Physician Office Front Desk experienceBenefitsWe believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs:Health benefitsLife insuranceLong-term disability coverageHealthcare spending accountsRetirement planPaid time offPet InsuranceTuition reimbursementEmployee assistance programWellness programOn-site housing for select positions and more!