Patient Access Representative 2 (On-Site) (H)

University of Miami•Miami, FL

1d•Onsite

About The Position

The University of Miami/UHealth department of Patient Access has an exciting opportunity for a Full Time Patient Access Representative 2 to work in South Dade, FL. The Patient Access Representative 2 (On-Site) registers patients for clinical services by obtaining pertinent information, verifying insurance benefits, explaining pertinent documents, and collecting payments. Obtains, confirms, and enters demographic, financial, and clinical information necessary for financial clearance of scheduled patient accounts. Contacts patients’ families or physicians’ offices to obtain missing insurance information. Verifies insurance and confirms insurance eligibility of patient coverage benefits, notifying patient and referring physician in the event of failed eligibility. Collaborates with scheduling departments to identify add-on patients. Obtains necessary authorizations, pre-certifications, and referrals. Notifies patients of liabilities and collects funds. Maintains appropriate records, files, and accurate documentation in the system of record. Adheres to University and unit-level policies and procedures and safeguards University assets. Department Specific Functions 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. 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 2 years of relevant experience
Knowledge of generally accepted accounting procedures and principles.
Skill in completing assignments accurately and with attention to detail.
Ability to process and handle confidential information with discretion.
Ability to work independently and/or in a collaborative environment.
Ability to communicate effectively in both oral and written form.

Nice To Haves

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

Responsibilities

Registers patients for clinical services by obtaining pertinent information, verifying insurance benefits, explaining pertinent documents, and collecting payments.
Obtains, confirms, and enters demographic, financial, and clinical information necessary for financial clearance of scheduled patient accounts.
Contacts patients’ families or physicians’ offices to obtain missing insurance information.
Verifies insurance and confirms insurance eligibility of patient coverage benefits, notifying patient and referring physician in the event of failed eligibility.
Collaborates with scheduling departments to identify add-on patients.
Obtains necessary authorizations, pre-certifications, and referrals.
Notifies patients of liabilities and collects funds.
Maintains appropriate records, files, and accurate documentation in the system of record.
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.