Patient Access Representative 3

University of Miami; Town of Florida (NY); On-site; USD 42,000 - 62,000; Full time

Job summary

The University of Miami Health System on-site Patient Access Representative 3 oversees registration and financial clearance to facilitate reimbursement for services. You will enter demographic and insurance data, verify coverage, obtain authorizations, and inform patients of any liabilities.

You will collaborate with scheduling and act as a lead resource for junior staff, while upholding university policies and delivering accurate, compliant records.

Qualifications

• Education: High School Diploma or equivalent/relevant experience, certification or license.
• Experience: Minimum 3 years of relevant experience required.
• Certification and Licensing: Refer to department description for applicable certification requirements.

Responsibilities

• Obtains, confirms, and enters demographic, financial, and clinical information for financial clearance of scheduled patient accounts.
• Contacts patients' families or physicians' offices to obtain missing insurance information.
• Verifies insurance and confirms eligibility of patient coverage; notifies patient and referring physician in case 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 service date and collects funds.
• Maintains records, files, and documentation in the system of record.
• Leads lower level Patient Access Representatives and supports team performance.
• Recommends new approaches to management to enhance performance and productivity.
• Adheres to University policies and safeguards University assets.

Skills

Learning Agility

Teamwork

Technical Proficiency

Communication

Education

High School Diploma

Tools

Office software

Job description

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

1. Obtains, confirms, and enters demographic, financial, and clinical information necessary for financial clearance of scheduled patient accounts.
2. Contacts patients' families or physicians' offices to obtain missing insurance information.
3. Verifies insurance and confirms insurance eligibility of patient coverage benefits, notifying patient and referring physician in the event of failed eligibility.
4. Collaborates with scheduling departments to identify add-on patients.
5. Obtains necessary authorizations, pre-certifications, and referrals.
6. Notifies patients of liabilities prior to date of service and collects funds.
7. Maintains appropriate records, files, and accurate documentation in the system of record.
8. Serves as a lead resource for lower level Patient Access Representatives.
9. Recommends new approaches to management for enhancing performance and productivity.
10. Adheres to University and unit-level policies and procedures and safeguards University assets.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS

• Education: High School Diploma or equivalent/relevant experience, certification or license
• Experience: Minimum 3 years of relevant experience required
• Certification and Licensing: Refer to department description for applicable certification requirements
• Knowledge, Skills and Abilities:
  • Learning Agility: Ability to learn new procedures, technologies, and protocols, and adapt to changing priorities and work demands.
  • Teamwork: Ability to work collaboratively with others and contribute to a team environment.
  • Technical Proficiency: Skilled in using office software, technology, and relevant computer applications.
  • Communication: Strong and clear written and verbal communication skills for interacting with colleagues and stakeholders.

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.

Job Status:Full timeEmployee Type:Staff