Patient Access Representative Specialist (Onsite) (H)

University of Miami; Coral Gables (FL); On-site; USD 42,000 - 56,000; Full time

Job summary

The University of Miami/UHealth Department of Clinical Access seeks a full-time Patient Access Specialist to support front-end revenue cycle and clinic operations at our Lennar location. The role handles demographic, financial, and clinical data, verifies insurance, obtains authorizations, and guides patients through financial clearance.

As on-site lead for Patient Services, you will train staff, improve processes, communicate clearly with patients and providers, and maintain accurate records.

Qualifications

• High School Diploma or equivalent or relevant experience
• Certification or license preferred
• Minimum 3 years of relevant experience required

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, notifying patient and referring physician if coverage is not valid.
• Obtains necessary authorizations, pre-certifications, and referrals.
• Notifies patients of liabilities prior to date of service and collects funds.

Skills

Learning agility

Teamwork

Technical proficiency

Communication

Education

High School Diploma or equivalent

Tools

Office software

Job description

The University of Miami/UHealth Department of Clinical Access has an exciting opportunity for a full-time Patient Access Specialist to work at our Lennar location.

Core Job Summary

The Patient Access Specialist (On-Site) is responsible for coordinating a wide range of complex duties that support front end revenue cycle and clinic functions for hospital and clinic operations that impact the patient experience. Serves as functional expert for department peers and oversees team adherence with established policies and procedures.

• 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 Services staff.
• 9. Recommends new approaches to management for enhancing performance and productivity.
• 10. Deploys critical thinking while responding to a variety of technical issues from patients, physicians and employees via phone, email, web messages, fax, or email.
• 11. Works independently and deals effectively with stress, due to heavy workload and the handling of complex patient inquiries.
• 12. Serves as a role model, facilitator, and coach in developing a culture of compassion and caring through building healthy relationships among staff, patients, and families.
• 13. Projects a professional appearance and pleasant demeanor creating a welcoming atmosphere.
• 14. 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/relevant experience, certification or license 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.

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.

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.

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