Patient Access Representative 1 Full Time Bascom Palmer Eye Institute Miami, FL

University of Miami; Miami (FL); On-site; USD 38,000 - 46,000; Full time

Job summary

The University of Miami is seeking an on-site Patient Access Representative 1 in Miami, FL. You will handle front-end patient intake, verify insurance, and manage demographic data to ensure accurate records.

You will explain HIPAA and treatment consent, assist patients with MyChart and self-check-in, and coordinate appointments while supporting a fast-paced clinical environment. Strong communication and data-entry accuracy are essential.

Qualifications

• High school diploma or equivalent is required.
• 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.

Responsibilities

• Performs full registration and verifies insurance and patient information.
• Obtains copies of insurance cards, driver’s license, and referrals.
• Explains Consent for Treatment, Financial Liability, and HIPAA and obtains signatures.
• Schedules follow-ups, cancels and edits appointments, and records no-shows.
• Reconciles vouchers and delivers them to the appropriate area.
• Answers calls and assists or transfers inquiries as needed.
• Maintains adherence to policies and safeguards University assets.
• Works with multiple EPIC and scheduling systems to manage patient flow.

Skills

Office procedures

Data entry

Communication skills

Attention to detail

Discretion

Education

High school diploma or equivalent

Tools

EPIC MyChart

Grand Central ADT

Cadence

Prelude

Radiant

OP Time

Care Everywhere

Resolute

Nice inContact

Aria Oncology

Job description

CORE JOB SUMMARY

• 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.

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.

CORE QUALIFICATIONS

Education

High school diploma or equivalent

Certification and Licensing

Not Applicable

Experience

Minimum 1 year of relevant experience

Knowledge, Skills and Attitudes

• 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.

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 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.

• 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 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.

• Assists department in meeting all established key performance indicator goals: Co-pay, Previous Balances, 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 seamless check 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.

• Ensures proper physical distancing is always maintained following established guidelines.

• Works with healthcare team 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 and assist as needed.

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

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida’s only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We’re the challenge you’ve been looking for.

The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.

Patient Access Representative 1 (On-Site)

Location: Miami, Florida

Job Status

Full time

Employee Type

Staff