Patient Access Representative

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: Job Description Summary: Patient Access Representative - Financial Counselor Must be bilingual English and Spanish Work schedule: Saturday-Tuesday 4-10 hour shifts Days 700a-530pm The Financial Counselor is responsible for analyzing patient accounts to identify reimbursement opportunities, collecting self-pay balances, and establishing payment arrangements in accordance with organizational policies. This role supports timely reimbursement by reviewing high-dollar and in-house accounts, coordinating outside funding referrals, and assisting with eligibility and charity determinations. The Financial Counselor maintains compliance with HIPAA, COBRA, and EMTALA guidelines, documents all account activity accurately, and collaborates with patients, guarantors, clinical teams, and external agencies. The position requires flexibility, cross-training across Patient Access areas, and a strong commitment to productivity, customer service, and regulatory compliance. Position Responsibilities Reviews census report daily and analyze accounts to find and pursue all avenues of reimbursement. Collects self-pay balances on all in-house patients, establishes payment arrangements according to policy and determines cases for outside funding referrals. Advises manager of payment problems and insurance company, attorney or other third party requests for negotiation. Reviews in-house high dollar accounts on the census report weekly for appropriate follow-up to ensures timely reimbursement. Maintains productivity and cash goals as set by manager. Maintains a working knowledge of collection guidelines, HIPPA, Cobra and EMTALA guidelines. Attends all corporate compliance programs and seminars/educational programs that maintain an awareness of laws and regulations affecting the department. Maintains courteous and cooperative working relationships with all levels of management, employees, physicians, patients and guarantors and the general public. Refers patients and guarantors to sources of outside funding. Assists with eligibility determination process by coordinating referrals between the social workers, agency representatives and guarantors. Evaluates guarantor's ability to pay. Prepares and recommends accounts for charity or bad debt for management review. Documents all activity from phone calls, walk-ins and correspondence on assigned accounts daily. Must be able to adjust schedule to department and patient needs. Presents a well groomed professional image. Keeps own work area and common are clean and well organized. Researches all accounts assigned by the manager/director in a timely manner. Research Search America for correct processing of patients for Financial screening. Complete all charity applications for financial approval by the Business Office. The individual is “cross-trained” to perform duties across various areas of Patient Access (i.e. CCC, ED, Ambulatory, etc.). Is available to cover different times/areas as assigned. Shadows new employees The employee is flexible to work outside their regular schedule( dates/time). Qualifications Must be bilingual English and Spanish Work schedule: Saturday-Tuesday 4-10 hour shifts Days 700a-530pm Education High School Graduate Experience 2-5 years experience working in office environment. 2-5 years experience in registration, collections, and insurance verifications. 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: 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! Degree Requirements: Certification: More than 4,000 people work at Mount Sinai Medical Center at more than a dozen locations throughout sunny South Florida, including our flagship, 672-bed hospital on Biscayne Bay at the gateway to Miami Beach. We’re the largest, independent, not-for-profit hospital in South Florida, and we’re the only hospital Healthgrades recognized for four years running as one of the top 5% in the nation. Clearly, clinical excellence is at our core.