University of Miami
PatientAccessRepresentative3
“Patient Access Representative 3 at University of Miami. Skills: Patient registration, Financial clearance, Insurance verification, Customer service. Oversees registration and financial clearance activities. Obtains, confirms, and enters demographic, financial, and clinical information”
What You'll Achieve.
Facilitate reimbursement for services rendered; Reducing AR, Bad Debt, and collection costs by collecting patient’s financial responsibility upfront; Assists department in meeting all established key performance indicator goals: Co-pay, Previous Balances, Estimate Collections, Patient Satisfaction, Accuracy Rates, and Processing Time
Industry & Context.
Recognize, analyze, solve, and de-escalate issues that may arise during workday by applying sound judgement and critical thinking; Works with healthcare team to resolve unique situations and troubleshoot issues
On-Site, Must be flexible and adjust to rotating schedules evenings, weekends, and holidays, Able to perform ADT functions afterhours, weekends, and holidays, Must adhere to PPE requirements, On-call and rotating schedule for evenings, weekends, and holidays
What They're Looking For.
Must Have
Minimum 3 years of relevant experience required, High School Diploma or equivalent
What You'll Do.
Oversees registration and financial clearance activities
and enters demographic
and clinical information
Contacts patients’ families or physicians’ offices
Verifies insurance and confirms insurance eligibility
Obtains necessary authorizations
Notifies patients of liabilities prior to date of service
Maintains appropriate records
and accurate documentation
Recommends new approaches for enhancing performance
Ensures smooth patient flow
Provides supervisory coverage in absence of Supervisor
Projects a welcoming professional demeanor
Interacts and works effectively with patients
Coordinates wide range of functions from prearrival to discharge
Performs pre-service validation prior to patient’s appointment
Assists patients in navigating self-serve technology options
Coordinates patient flow to ensure timely check-in
and accurately enters and updates demographic
and clinical HIPAA protected information
Reviews real time eligibility insurance responses
Conducts critical communication with patients or legal guardian
performs insurance verification
Provides financial counseling services at check-in
Promotes effective methods of communication
Handles high volume of incoming and outgoing calls
Answers and triages incoming calls
Collects and processes large amounts of currency
Performs end of day cash-drawer reconciliation
Performs timely bank deposits
Assists department in meeting all established key performance indicator goals
Maintains a close working relationship with healthcare team
and de-escalate issues
Ensures proper physical distancing is always maintained
Works with healthcare team to resolve unique situations
Cross trained to carry out all Front-End Revenue Cycle and Clinical Support functions
Explains and obtains patient acknowledgment for all required regulatory documents
Obtains information from patient to complete Patient Self Determination Checklist
Responsible for obtaining
and documenting eligibility and benefits
Responsible for pre-admissions log
How You'll Work.
Team & Collaboration
Collaborates with scheduling departments; Works effectively with the healthcare team; Collaborates with providers and clinical team schedulers; Maintains a close working relationship and open communication with all members of the healthcare team; Works with healthcare team to resolve unique situations; Extensive collaboration with providers, nursing unit, and utilization review department
Communication Scope
clear written and verbal communication skills
Applying for this Patient Access Representative 3 role?
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