Patient Access Representative 3, Full Time

University of Miami; Miami (FL); On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Tuition remission

Competitive salary

Job summary

University of Miami Health System is seeking a Patient Access Representative 3 (On-Site) to oversee registration and financial clearance activities, enabling reimbursement for services. The role serves as a functional expert for department peers and leads other access representatives.

Responsibilities include obtaining accurate demographic and insurance data, verifying eligibility, obtaining authorizations, and communicating with families and physicians.

Qualifications

• GAAP knowledge and accounting principles.
• Ability to handle confidential information with discretion.
• Strong attention to detail in processing demographics and financial data.
• Ability to work independently and in a team.
• Excellent oral and written communication skills.

Responsibilities

• Obtains, confirms, and enters demographic, financial, and clinical information for financial clearance of scheduled patient accounts.
• Contact patients’ families or physicians’ offices to obtain missing insurance information.
• Verifies insurance and confirms eligibility of patient coverage benefits; notifies patient and physician when needed.
• 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.
• Serves as a lead resource for lower level Patient Access Representatives.
• Recommends new approaches to management for enhancing performance and productivity.

Skills

GAAP knowledge

Attention to detail

Discretion

Independence / teamwork

Communication

Education

High School diploma or equivalent

Job description

Location: UHealth Tower

The Patient Access Representative 3 (On-Site) (U) 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.


• Contact 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.

_ 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:

• High School diploma or equivalent


• Minimum 3 years of relevant experience

Knowledge, Skills, and Attitudes:

• 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.

The above statements are intended to describe the general nature and primary responsibilities of this job classification. Specific duties and tasks may vary based upon departmental needs. Other duties may be assigned to the above consistent with the knowledge, skills, and abilities required for the job. This a job profile description and not all duties may be assigned to a specific position in each individual department.

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 time

Employee Type:

Staff