Patient Access Representative 3 Full Time Bascom Palmer Eye Institute Miami, FL

University of Miami; United States; Sur place; USD 42 000 - 58 000; Plein temps

Résumé du poste

The University of Miami, Bascom Palmer Eye Institute, invites applicants for a full-time Patient Access Representative 3 in Miami, FL. The role focuses on registration and financial clearance to facilitate reimbursement and serves as a department expert for peers.

Key duties include collecting demographic/insurance data, verifying eligibility, coordinating admissions, obtaining authorizations, and guiding lower level staff while upholding campus policies and patient confidentiality.

Qualifications

• High school diploma or equivalent.
• Minimum 3 years of relevant experience.
• Knowledge of generally accepted accounting procedures and principles.

Responsabilités

• Obtain, confirm, and enter demographic, financial, and clinical information for financial clearance of scheduled patient accounts.
• Contact patients, families, or physicians' offices to obtain missing information.
• Verify insurance and confirm eligibility, notifying patient/provider if coverage fails.
• Collaborate with scheduling to identify add-on patients and coordinate admissions.
• Obtain necessary authorizations, pre-certifications, and referrals.
• Notify patients of liabilities and collect funds.
• Maintain accurate documentation in the system of record.
• Lead and mentor lower level Patient Access Representatives.

Connaissances

Customer service

Insurance verification

Data entry

Financial clearance

Formation

High school diploma or equivalent

Description du poste

The University of Miami, Bascom Palmer Eye Institute, has an exciting full time opportunity for a Patient Access Representative 3 in Miami, Florida.

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.

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.

• 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.

CORE QUALIFICATIONS

• Education: High school diploma or equivalent
• Certification and Licensing: Not Applicable
• Experience: 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.

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.

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

The mission of the University of Miami is to transform lives through education, research, innovation, and service.

A vibrant and diverse academic and healthcare community, the University of Miami and the University of Miami Health System ("UHealth") have rapidly progressed to become one of the nation’s top research universities and academic medical centers in the nation.

The University comprises 12 schools and colleges serving undergraduate and graduate students in more than 350 majors and programs.

Visit welcome.miami.edu/about-um to learn more about our points of pride.

The University ranks No. 55 on U.S. News & World Report’s 2022 Best Colleges list and ranked No. 49 in the 2022 Wall Street Journal/Times Higher Education College Rankings.

Bascom Palmer Eye Institute is ranked the #1 eye hospital in the USA and offers some of the nation's premiere eye doctors to treat every eye condition for adults.

Sylvester Comprehensive Cancer, part of the Miller School of Medicine, received the prestigious National Cancer Institute designation in 2019.

The University of Miami and UHealth have also ranked among the Forbes Best Employers and Best Employers for Women on several occasions, most recently in 2022.

With more than 17,000 faculty and staff, the University strives for excellence, and is driven by a powerful mission to transform and impact the lives of its students, patients, members of the community, and people across the globe.

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