Patient Access Leader: Financial Clearance & Admissions

umiami; Miami (FL); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Tuition remission

Job summary

The University of Miami Bascom Palmer Eye Institute is seeking a Patient Access Representative 3 to support on-site financial clearance and patient data processing in Miami, FL. You will lead verification and admissions activities, coordinating with providers and scheduling teams to ensure smooth patient flow.

Ideal candidates have a high school diploma, 3+ years in related roles, and a solid grasp of insurance eligibility, authorizations, and revenue cycle processes.

Qualifications

• Knowledge of generally accepted accounting procedures and principles.
• 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.
• 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.
• 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.

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 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.

Skills

Accounting procedures

Attention to detail

Discretion with confidential info

Independent working

Communication skills

Collaboration with Transfer Center

Admissions orders processing

Interdepartmental collaboration

Remote call center awareness

Education

High school diploma or equivalent

Job description

The University of Miami Bascom Palmer Eye Institute is seeking a Patient Access Representative 3 to support on-site financial clearance and patient data processing in Miami, FL. You will lead verification and admissions activities, coordinating with providers and scheduling teams to ensure smooth patient flow.

Ideal candidates have a high school diploma, 3+ years in related roles, and a solid grasp of insurance eligibility, authorizations, and revenue cycle processes.