Patient Access Representative 3 (On-Site) - Doral Clinic

200 UM Corp (Enterprise); Florida; On-site; USD 52,000 - 68,000; Full time

Job summary

The University of Miami’s UHealth Department of Patient Access is hiring a full-time Patient Access Representative 3 (On-Site) for our Doral location. You will oversee registration and financial clearance to facilitate reimbursement and serve as a department expert.

Key duties include collecting demographic and insurance information, securing authorizations, and communicating with patients, families, and physicians to ensure smooth, compliant patient access processes.

Qualifications

• Learning agility: adapt to new procedures, technologies, and protocols.
• Teamwork: collaborate effectively with others in a team.
• Technical proficiency: comfortable with office software and relevant computer applications.
• Communication: strong written and verbal communication with colleagues and stakeholders.

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 benefits; notifies patient and referring physician if eligibility fails.
• Collaborates with scheduling to identify add-on patients and obtain necessary authorizations, pre-certifications, and referrals.
• Notifies patients of liabilities prior to service date and collects funds.
• Maintains records, files, and accurate documentation in the system of record.
• 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 or equivalent

Job description

Patient Access Representative 3 (On-Site)

The University of Miami/UHealth Department of Patient Access has an exciting opportunity for a full-time Patient Access Representative 3 (On-Site) to work at our Doral location.

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 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.
• 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 required.

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.
• Any relevant education, certifications and/or work experience may be considered.

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

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.