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

University of Miami•Coral Gables, 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 responsible for performing full registration, verifying insurance, ensuring patient information is correct, and obtaining necessary signed forms. The representative will also schedule appointments, reconcile vouchers, answer telephone calls, and adhere to University and unit-level policies. Department Specific Functions include projecting a welcoming demeanor, interacting effectively with patients and the healthcare team, coordinating various functions using multiple systems (EPIC MyChart, Grand Central ADT, Cadence, Prelude, Radiant, OP Time, Care Everywhere, Resolute, Nice inContact Communication, and Aria Oncology), performing pre-service validation, assisting patients with self-serve technology, coordinating patient flow, obtaining and updating demographic, financial, and clinical information, reviewing insurance eligibility, communicating with patients regarding legal documents, collecting and processing currency, reconciling cash drawers, and performing end-of-day reconciliation and bank deposits. The role requires cross-training for Front-End Revenue Cycle and Clinical Support functions and the ability to float across all areas. Knowledge of healthcare regulatory guidelines and compliance requirements including OSHA, HIPAA, JC, AHCA, EMTALA, and CMS is essential. 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.
Any relevant education, certifications and/or work experience may be considered.
Knowledge of health care regulatory guidelines and compliance requirements including but not limited to: OSHA, HIPAA, JC, AHCA, EMTALA, and CMS.

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 work 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.
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.
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.