Patient Access Representative 2 (On-Site) (H) Full Time Bascom Palmer Eye Institute Miami, FL

About this role

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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.  

• Contacts   patient s ’ families   or physician s’   offices to obtain missing   insurance information .  

• Verifies insurance and confirms insurance eligibility of patient coverage benefits, notifying patien t and referring physician   in the event of   failed eligibility.  

• Collaborates with scheduling departments to   identify   add-on patients.  

• Obtains necessary authorizations, pre-certific ations, 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.  

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 s chool diploma or equivalent    

Certification and Licensing:  

Not A pplicable  

Experience:  

Minimum   2   years of relevant experience    

Knowledge,   Skills   and Attitudes:  

• 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 .  

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   healthcar

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