Patient Access Representative 1 (On-Site) Full Time Palm Beach Gardens, FL

University of Miami•Palm Beach Gardens, FL

3d•Onsite

About The Position

The Patient Access Representative 1 (On-Site) registers patients for clinical services by obtaining pertinent information, verifying insurance benefits, and collecting payments. This role is crucial for ensuring a smooth and positive patient experience from the initial point of contact. The University of Miami, Bascom Palmer Eye Institute, has an exciting full time opportunity for a Patient Access Representative 1 in Palam Beach Gardens, Florida. This position is responsible for performing full patient registration, verifying insurance, and collecting payments. The role involves explaining important documents like Consent for Treatment, Financial Liability, and HIPAA to patients, as well as instructing them on completing necessary questionnaires. Additionally, the Patient Access Representative 1 will schedule, cancel, and edit appointments, accurately record no-shows, and reconcile vouchers. The role also includes answering telephone calls, responding to inquiries, and transferring calls appropriately. Adherence to University and unit-level policies and procedures, and safeguarding University assets are also key functions. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

Requirements

High school diploma or equivalent
Minimum 1 year of relevant experience
General knowledge of office procedures and operations.
Skill in data entry with minimal errors.
Ability to communicate effectively in both oral and written form.
Skill in completing assignments accurately and with attention to detail.
Ability to process and handle confidential information with discretion.

Nice To Haves

EPIC MyChart
Grand Central ADT
Cadence
Prelude
Radiant
OP Time
Care Everywhere
Resolute
Nice inContact Communication
Aria Oncology

Responsibilities

Performs full registration and ensures that insurance is verified and all patients’ information is correct.
Obtains copies of insurance cards, driver’s license, and any applicable referrals.
Explains Consent for Treatment, Financial Liability, and HIPAA to patients and obtains signed forms.
Instructs patients to complete any questionnaires that might be required by physician.
Schedules follow-up, cancels, and edits appointments, and records no-show patients accurately.
Reconciles all vouchers and delivers them to designated area.
Answers telephone calls and responds to questions and inquiries or transfers when appropriate.
Adheres to University and unit-level policies and procedures and safeguards University assets.
Projects a welcoming professional demeanor.
Interacts and works effectively with patients of all ages, and the healthcare team to ensure a favorable first impression and positive patient experience.
Coordinates wide range of functions from prearrival to discharge utilizing multiple systems including but not limited to: EPIC MyChart, Grand Central ADT, Cadence, Prelude, Radiant, OP Time, Care Everywhere, Resolute, Nice inContact Communication, and Aria Oncology simultaneously and independently to service patients promptly in a fast paced, constantly changing environment.
Performs pre-service validation prior to patient’s appointment for in person or virtual visits.
Assists patients in navigating self-serve technology options including but not limited to MyChart and Self check-in kiosks, in person or remotely.
Coordinates patient flow to ensure timely check-in and arrival to service area.
Obtains, confirms, and accurately enters and updates demographic, financial, and clinical HIPAA protected information.
Reviews real time eligibility insurance responses and/or master contract tool and updates coverages as needed.
Conducts critical communication with patients or legal guardian facilitating the understanding of and obtaining signature on legal, ethical, and compliance related documents that must be presented and thoroughly explained to the patient prior to services being rendered including but not limited to: to Consent for Treatment and Conditions of Admissions, Advance Directives, HIPAA Notice of Privacy, No Surprise Billing, Good Faith Estimate, Off Campus Medicare Co-insurance and Advance Beneficiary Notices, and Medicare Secondary Payer Questionnaire.
Serves as gatekeeper, performs insurance verification, and obtains referrals and/or authorizations as needed.
Provides financial counseling services at check-in, explains benefits, creates estimates, and notifies patients of self-pay liabilities including co-pays, deductibles, co-insurances, global self-pay packages, and previous balances for both hospital technical and professional components and collects thereby reducing AR, Bad Debt, and collection costs by collecting patient’s financial responsibility upfront.
Promotes the use of effective methods of communication and collaborates with providers and clinical team schedulers in coordinating and scheduling complex follow up care onsite or remotely.
Handles high volume of incoming and outgoing calls promptly. Answers and triages incoming calls, listens to patient/customers’ needs, responds to questions, provides helpful solutions, directs calls, and documents messages using appropriate software in accordance with established protocol.
Collects and processes large amounts of currency and performs end of day cash-drawer reconciliation and timely bank deposits.
Assists department in meeting all established key performance indicator goals: Co-pay, Previous Balances, Estimate Collections, Patient Satisfaction, Accuracy Rates, and Processing Time.
Maintains a close working relationship and open communication with all members of the healthcare team to ensure a seamless check in, check out, clinic flow and positive experience for patients and caregivers.
Recognize, analyze, solve, and de-escalate issues that may arise during workday by applying sound judgement and critical thinking.
Ensures proper physical distancing is always maintained following established guidelines.
Works with healthcare team to resolve unique situations and troubleshoot issues.
Cross trained to carry out all Front-End Revenue Cycle and Clinical Support functions and able to float across all areas and assist as needed.