Patient Access Representative 2 (On-Site) Full Time Bascom Palmer Eye Institute Miami, FL

On-site position in Miami, Florida.

About the role

The Patient Access Representative 2 registers patients for clinical services by obtaining pertinent information, verifying insurance benefits, explaining pertinent documents, and collecting payments.

Responsibilities

• 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 and collects funds.
• Maintains appropriate records, files, and accurate documentation in the system of record.
• Adheres to University and unit-level policies and procedures and safeguards University assets.
• Projects a welcoming professional demeanor and interacts effectively with patients of all ages and the healthcare team.
• Coordinates functions from prearrival to discharge using systems including EPIC MyChart, Grand Central ADT, Cadence, Prelude, Radiant, OP Time, Care Everywhere, Resolute, Nice inContact Communication, and Aria Oncology.
• 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.
• 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.
• Facilitates understanding and obtains signatures on legal, ethical, and compliance-related documents (e.g., Consent for Treatment, HIPAA Notice of Privacy, No Surprise Billing, Good Faith Estimate).
• Performs insurance verification and obtains referrals/authorizations as needed.
• Provides financial counseling, explains benefits, creates estimates, and notifies patients of self-pay liabilities (co-pays, deductibles, co-insurances).
• Collects patient financial responsibility upfront to reduce AR, bad debt, and collection costs.
• Handles high volume of incoming and outgoing calls promptly, triaging and documenting messages.
• Collects and processes large amounts of currency and performs end-of-day cash-drawer reconciliation and bank deposits.
• Assists department in meeting key performance indicator goals (co-pay, previous balances, estimate collections, patient satisfaction, accuracy rates, processing time).
• Maintains open communication with the healthcare team to ensure seamless check-in, check-out, and clinic flow.
• Recognizes, analyzes, and de-escalates issues using sound judgment and critical thinking.
• Ensures proper physical distancing following established guidelines.
• Cross-trained to carry out all front-end revenue cycle and clinical support functions, able to float across areas as needed.
• Knowledge of healthcare regulatory guidelines and compliance requirements (OSHA, HIPAA, JC, AHCA, EMTALA, CMS).

Requirements

• High school diploma or equivalent.
• Minimum 2 years of relevant experience.
• 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.

Benefits

• Competitive salaries.
• Comprehensive benefits package including medical, dental, and tuition remission.