Patient Access Representative ; On-Site; Bascom Palmer Eye Institute

Current Employees:

If you are a current Staff, Faculty or Temporary employee at the University of Miami, please  to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet .The Bascom Palmer Eye Institute is currently seeking a full-time Patient Access Representative to work on site in Miami.

The Patient Access Representative 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 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 in Contact 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,…