Patient Access Representative 1 (On-Site) (H)

Patient Access Representative 1

The University of Miami/UHealth Department of Clinical Access has an exciting opportunity for a full-time Patient Access Representative 1 to work at our Lennar location.

Core Job Summary:

The Patient Access Representative 1 (On-Site) registers patients for clinical services by obtaining pertinent information, verifying insurance benefits, and collecting payments.

Core Responsibilities:

• 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.

Department Specific Functions:

• Projects a welcoming professional demeanor.
• Interacts and work 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 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 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.
• 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.
• 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 OSHA, HIPAA, JC, AHCA, EMTALA, and CMS.

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

High school diploma or equivalent

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.

Any relevant education, certifications and/or work experience may be considered.

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