Patient Access Representative 2 (On-Site) (H) Full Time Miami, FL

Patient Access Representative 2 (On‑Site) - Summary 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 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 pre‑arrival to discharge utilizing multiple systems such as EPIC MyChart, Grand Central ADT, Cadence, Prelude, Radiant, OP Time, Care Everywhere, Resolute, Nice inContact Communication, and Aria Oncology 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 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 to facilitate understanding and obtaining signatures on legal, ethical, and compliance related documents such as Consent for Treatment, Conditions of Admission, Advance Directives, HIPAA Notice of Privacy, No Surprise Billing, Good Faith Estimate, Off‑Campus Medicare Co‑insurance, 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, collecting upstream to reduce AR, bad debt, and collection costs. Promotes the use of effective communication methods and collaborates with providers and clinical team schedulers to coordinate and schedule 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 with 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. Recognizes, analyzes, solves, and de‑escalates issues that may arise during workday by applying sound judgment 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. Core Qualifications 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. Education High school diploma or equivalent. Experience Minimum 2 years of relevant experience. Equal Opportunity Employer Statement The University of Miami is an Equal Opportunity Employer. Females, minorities, protected veterans, and individuals with disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on protected categories under Federal law. For more information, here. Job Status Full time Employee Type Staff Pay Grade H4 #J-18808-Ljbffr