Patient Access Representative 3 Full Time Bascom Palmer Eye Institute Miami, FL

University of Miami•Miami, FL

1d•Onsite

About The Position

The Patient Access Representative 3 (On-Site) oversees the registration and financial clearance activities that will facilitate reimbursement for services rendered by the department and serves as functional expert for department peers. This role involves obtaining, confirming, and entering demographic, financial, and clinical information necessary for financial clearance of scheduled patient accounts. It also includes collaborating with various departments and personnel to ensure smooth patient admissions and financial processing. The position requires a strong understanding of revenue cycle operations and the ability to act as a lead resource for other Patient Access Representatives.

Requirements

High school diploma or equivalent
Minimum 3 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

Certification and Licensing: Not Applicable

Responsibilities

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 prior to date of service and collects funds.
Maintains appropriate records, files, and accurate documentation in the system of record.
Serves as a lead resource for lower level Patient Access Representatives.
Recommends new approaches to management for enhancing performance and productivity.
Adheres to University and unit-level policies and procedures and safeguards University assets.
Collaborates with Transfer Center on all incoming transfers to finalize transfer requests.
Responsible for processing admissions orders received via in-basket messaging.
Extensive collaboration with providers, nursing unit, and utilization review department in coordinating admissions.
Must possess a good understanding of the unique characteristics and operations of remote based call center operations to proficiently support all Front-End Revenue Cycle and Clinical Support remote functions.