Patient Access Representative 3 (On-Site) - Doral

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The University of Miami Health System at Doral has an exciting opportunity for a full-time Patient Access Representative 3 position.

The University of Miami Health System in Downtown Doral that serves as a western hub for our distinguished regional network of ambulatory services. This 160,000 square foot expansion will continue to bring world-class academic medicine, cutting-edge technology, and innovative treatment options to the rapidly growing Doral community.  UHealth at Doral has services through the Sylvester Comprehensive Cancer Center, Bascom Palmer Eye Institute, and the Desai Sethi Urology Institute, as well as specialties such as cardiology, endocrinology, otolaryngology, gastroenterology, dermatology, and more. The expansion provides residents with innovative, specialized medical services in the heart of their community.  Once complete, UHealth at Doral will have 8 operating rooms, 3 endoscopy procedure rooms, 33 cancer treatment bays, over 60 multidisciplinary exam rooms, and supporting ancillary services like imaging, lab, and respiratory therapy.

Core Job Summary:

The Patient Access Representative 3 (On-Site) oversees the registration and financial clearance activities that will facilitate reimbursement for services rendered by the department and serves as functional expert for department peers.

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 prior to date of service and collects funds.

• Maintains appropriate records, files, and accurate documentation in the system of record.

• Serves as a lead resource for lower level Patient Access Representatives.

• Recommends new approaches to management for enhancing performance and productivity.

• Adheres to University and unit-level policies and procedures and safeguards University assets.

Department Specific Functions;

• Serves as Lead resource and functional expert. 

• Ensures smooth patient flow. 

• Provides supervisory coverage in the absence of Supervisor. 

• Identifies and recommends new approaches to management for enhancing team performance and productivity. 

• 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 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 gua