Patient Access Representative 2 (On Site) (H)

Job description

Current Employees:
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The University of Miami/UHealth Department of Clinical Access has an exciting opportunity for a full-time Patient Access Representative 2 to work at our Boca Raton location.


Core Job Summary:

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 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 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.
+ 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 but not limited to: OSHA, HIPAA, JC, AHCA, EMTALA, and CMS.




AREA SPECIFIC


ER
+ Must possess a good understanding of the unique characteristics and operations of the Emergency Room to proficiently support.
+ Proficient knowledge of ASAP module.
+ Must be flexible and adjust to rotating schedules evenings, weekends, and holidays.
+ Able to perform ADT functions (as described under Admitting section) afterhours, weekends, and holidays.
+ Must adhere to PPE requirements as dictated by the specific situation.





ADMITTING
+ Must possess a good understanding of the unique characteristics and operations of Admitting to proficiently support the area.
+ Proficient knowledge of ADT module.
+ On-call and rotating schedule for evenings, weekends, and holidays.
+ Explains and obtains patient acknowledgment for all required regulatory documents including but not limited to the HIPAA Facility Directory Form, and CMS MOON, HOON, and IMM notices.


+ Obtains information from patient to complete Patient Self Determination Checklist and collects and scans pertinent documents.


+ Responsible for obtaining, confirming, and documenting eligibility and benefits, and providing health plan admission notification.
+ Responsible for pre-admissions log to include benefits, specialty, and financial clearance.


+ Coordinates with bed control on bed availability.
+ Collaborates with Transfer Center on all incoming transfers to finalize transfer requests.
+ Responsible for processing admissions orders received via in-basket messaging.
+ Extensive collaboration with providers, nursing unit, and utilization review department in coordinating admissions.





CTU
+ Must possess a good understanding of the unique characteristics and operations of CTU to proficiently support the area.





HOSPITAL BASED CLINIC
+ Must possess a good understanding of the unique characteristics and operations of the hospital-based department/clinic/division to proficiently support the area.





PRACTICE BASED CLINIC
+ Must possess a good understanding of the unique characteristics and operations of the practice-based department/clinic/division to proficiently support the area.





REMOTE BASED
+ Must possess a good understanding of the unique characteristics and operations of remote based call center operations to proficiently support all Front-End Revenue Cycle and Clinical Support remote functions.





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 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.



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.


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 - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply.

Applicants and employees are protected from discrimination based on certain categories protected by Federal law.

Click here (https://www.hr.miami.edu/careers/eo-ada/index.html) for additional information.


Job Status:
Full time

Employee Type:
Staff

Pay Grade:
H4

Required Skill Profession

Other General