Patient Access Representative 1 (On-Site) (H)

University of Miami•Coral Gables, FL

10d•Onsite

About The Position

The Patient Access Representative 1 registers patients for clinical services by obtaining pertinent information, verifying insurance benefits, and collecting payments. The role supports patients throughout the access process, from prearrival through discharge, and helps provide a welcoming, efficient, and positive patient experience in a fast-paced, changing environment. The representative coordinates registration, scheduling, patient communications, insurance validation, payment processing, and patient flow. The role uses multiple clinical and administrative systems independently, supports patients with self-service technology, and handles confidential demographic, financial, and clinical information. Staff are cross-trained to perform Front-End Revenue Cycle and Clinical Support functions and may float across areas as needed.

Requirements

High school diploma or equivalent.
Minimum 1 year of relevant experience.
General knowledge of office procedures and operations.
Data-entry skills with minimal errors.
Ability to communicate effectively orally and in writing.
Ability to complete assignments accurately and with attention to detail.
Ability to process and handle confidential information with discretion.

Nice To Haves

Relevant education, certifications, and/or work experience may be considered.

Responsibilities

Perform full patient registration, verify insurance, and ensure patient information is correct.
Obtain copies of insurance cards, driver’s licenses, and applicable referrals.
Explain Consent for Treatment, Financial Liability, and HIPAA documents and obtain signed forms.
Instruct patients to complete questionnaires required by physicians.
Schedule follow-up appointments, cancel or edit appointments, and accurately record no-show patients.
Reconcile vouchers and deliver them to the designated area.
Answer telephone calls, respond to questions and inquiries, or transfer calls when appropriate.
Project a welcoming, professional demeanor and interact effectively with patients of all ages and the healthcare team.
Coordinate functions from prearrival through discharge using multiple systems, including EPIC MyChart, Grand Central ADT, Cadence, Prelude, Radiant, OP Time, Care Everywhere, Resolute, Nice inContact Communication, and Aria Oncology.
Perform pre-service validation for in-person and virtual appointments.
Help patients navigate self-service technology, including MyChart and self-check-in kiosks, in person or remotely.
Coordinate patient flow to support timely check-in and arrival at the service area.
Obtain, confirm, accurately enter, and update demographic, financial, and HIPAA-protected clinical information.
Review real-time insurance eligibility responses and/or the master contract tool, and update coverages as needed.
Communicate with patients or legal guardians to explain and obtain signatures on legal, ethical, and compliance-related documents before services are rendered.
Answer and triage incoming calls, identify patient or customer needs, respond to questions, provide solutions, direct calls, and document messages using appropriate software and established protocols.
Collect and process currency, reconcile the cash drawer at the end of the day, and make timely bank deposits.
Cross-train to carry out Front-End Revenue Cycle and Clinical Support functions, float across areas, and assist as needed.
Adhere to University and unit-level policies and procedures and safeguard University assets.
Observe healthcare regulatory guidelines and compliance requirements, including OSHA, HIPAA, JC, AHCA, EMTALA, and CMS.