The University of Miami, Bascom Palmer Eye Institute, has an exciting full time opportunity for a Patient Access Representative 2 in Miami, Florida.

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

CORE JOB FUNCTIONS

• Obtains, confirms, and enters demographic, financial,and clinical information necessary for financial clearance of scheduled patient accounts.

• Contactspatients’ familiesor physicians’offices to obtain missinginsurance information

• Verifies insurance and confirms insurance eligibility of patient coverage benefits, notifying patient and referring physicianin the event offailed eligibility.

• Collaborates with scheduling departments toidentifyadd-on patients.

• Obtains necessary authorizations, pre-certifications, and referrals

• Notifies patientsofliabilities and collects funds.

• Maintainsappropriate records, files,andaccuratedocumentation in the system of record.

• Adheres to University and unit-level policies and procedures and safeguards University assets.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties orresponsibilitiesas necessary.

COREQUALIFICATIONS

Education:

High school diploma or equivalent

Certification and Licensing:

Not Applicable

Experience:

Minimum2years of relevant experience

Knowledge,Skillsand Attitudes:

• Knowledge ofgenerally acceptedaccounting 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 writtenform

DEPARTMENT ADDENDUM

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 topatient’sappointment for in person or virtual visits. 

• Assistspatients 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 ensuretimelycheck-in and arrival to service area. 

• Obtains, confirms, and accurately enters and updates demographic, financial, and clinical HIPAA protected information. 

• Reviewsreal timeeligibility insurance responses and/or master contract tool and updatescoveragesas 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 asgatekeeper, 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 usingappropriate softwarein accordance withestablished protocol. 

• Collects and processeslarge amountsof currency and performs end of day cash-drawer reconciliation andtimelybank deposits. 

• Assistsdepartment in meeting allestablishedkey performance indicator goals: Co-pay,PreviousBalances, 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 seamlesscheck 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. 

• Ensuresproper physical distancing is alwaysmaintainedfollowing established guidelines. 

• Works withhealthcareteam 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 andassistas needed. 

• Knowledge of health care regulatory guidelines and compliance requirements including but not limited to: OSHA, HIPAA, JC, AHCA, EMTALA, and CMS.