Senior Admitting Representative (Full Time)

Senior Admitting Representative Larkin Community Hospital – South Miami Campus | 902 - Admitting Department Location South Miami, FL

Status / Shift Full-Time

FLSA Status Non-Exempt

Job Summary The Senior Admitting Representative performs the full range of patient registration and admission functions at Larkin Community Hospital South Miami Campus and serves as the lead resource for the Admitting team. In addition to registering inpatient, outpatient, observation, surgical, and emergency department patients, this position handles complex registrations and insurance issues, resolves escalated patient and family concerns, trains and mentors Admitting Representatives, monitors registration accuracy, and supports the Supervisor with daily workflow and coverage. The Senior Admitting Representative serves as the department point of contact in the Supervisor's absence and works collaboratively with nursing, physicians, case management, and the business office to ensure a smooth, compassionate patient experience in accordance with hospital policies, HIPAA, EMTALA, and applicable regulatory requirements. Position Qualifications/Requirements Education/Experience

• High school diploma or GED; associate degree or college coursework preferred.
• Minimum three (3) years of experience in hospital admitting, patient registration, or patient access, including emergency department and inpatient registration.
• Prior lead, preceptor, or training experience preferred.
• Strong working knowledge of medical terminology, insurance verification and authorization processes, and third-party payers (Medicare, Medicaid, managed care/HMO, commercial insurance).

Licenses/Certifications

• None required.
• Certified Healthcare Access Associate (CHAA) through NAHAM preferred.

Skills/Requirements

• Bilingual English/Spanish strongly preferred.
• Excellent customer service and interpersonal skills; ability to de-escalate and resolve patient and family concerns with professionalism and compassion.
• Demonstrated ability to train, coach, and mentor staff.
• Advanced knowledge of registration workflows, insurance eligibility and authorization requirements, and Medicare/Medicaid regulatory forms.
• Strong attention to detail and data-entry accuracy; ability to identify and correct registration errors.
• Knowledge of HIPAA privacy, confidentiality, EMTALA, and patient rights requirements.
• Ability to prioritize and manage multiple tasks in a fast-paced environment and work independently with minimal supervision.
• Strong problem-solving and critical-thinking skills.
• Proficiency with computers, electronic health record/registration systems, and standard office software.
• Effective verbal and written communication skills and professional telephone etiquette.

Essential Duties and Responsibilities

• Performs all duties of the Admitting Representative, including accurate and complete registration and admission of inpatient, outpatient, observation, surgical, and emergency department patients.
• Serves as the lead resource for Admitting Representatives, answering questions, resolving complex registration and insurance issues, and providing guidance on departmental policies and procedures.
• Trains, orients, and mentors new and existing Admitting Representatives and provides ongoing coaching and competency support.
• Handles escalated patient and family concerns and difficult registration situations, involving the Supervisor when appropriate.
• Monitors registration accuracy and quality; reviews work queues, error reports, and audit findings; corrects and communicates errors to support clean claims.
• Obtains and verifies patient demographic, guarantor, and insurance information; verifies insurance eligibility and benefits and secures pre-certifications, authorizations, and referrals as required.
• Explains and obtains signatures on required documents, including Consent for Treatment, Assignment of Benefits, Notice of Privacy Practices, Patient Rights, advance directive acknowledgment, and applicable Medicare forms (Medicare Secondary Payer Questionnaire, Important Message from Medicare, Advance Beneficiary Notice), and ensures staff compliance with these requirements.
• Verifies patient identity using two identifiers and prepares and applies patient identification bands.
• Coordinates bed assignments and admissions with the nursing supervisor, case management, and ancillary departments.
• Ensures registration for emergency department patients is completed in compliance with EMTALA; never delays medical screening or treatment for financial reasons.
• Refers uninsured or underinsured patients to financial counseling and Medicaid eligibility resources.
• Assists the Supervisor with daily staffing assignments, shift coverage, and workflow adjustments, and serves as the department point of contact in the Supervisor's absence.
• Assists with the development and updating of departmental procedures, job aids, and training materials.
• Answers telephones, pre-registers and schedules patients, and directs inquiries to the appropriate department.
• Maintains patient confidentiality and complies with HIPAA and hospital confidentiality requirements.
• Maintains a clean, safe, and organized work area and patient waiting area.
• Performs additional duties as assigned by the Supervisor, Director, or designee.

Physical Requirements

• Sit for extended periods performing computer work; stand and walk intermittently throughout the shift.
• Occasionally lift and/or move up to 20 pounds (files, supplies, equipment).
• Frequent repetitive hand and wrist motion for keyboarding and data entry.
• Occasionally bend, reach, and push/pull, including assisting patients in wheelchairs.
• Sufficient visual acuity to read documents and computer screens and auditory ability to communicate in person and by telephone.
• Ability to manage stress and make decisions under pressure; potential exposure to communicable diseases.

Benefits

Full-time employees are eligible for medical, dental, vision, and prescription coverage; company-paid life/AD&D; voluntary disability and supplemental plans; an Employee Assistance Program; Paid Time Off (PTO) and Disability Time Off (DTO); and a 401(k) retirement plan with Roth option and employer match. Equal Opportunity Employer Larkin Health System is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, veteran status, or any other characteristic protected by law. Larkin Health System is a drug-free workplace.