Patient Benefit Advisor 2

University of Miami; Oregon; Hybrid; USD 52,000 - 80,000; Full time

Job summary

University of Miami is seeking a Patient Benefits Advisor 2 to help patients secure insurance coverage and understand costs for required services. The role involves calculating estimates, arranging payment plans, and guiding patients and guarantors through financial options.

You'll collaborate with hospital departments and insurers, train new staff, and ensure compliant handling of payments. A strong customer service background and knowledge of medical terminology are essential.

Qualifications

• High school diploma or equivalent.
• Minimum 2 years of relevant experience.
• Any relevant education, certifications and/or work experience may be considered.
• Strong customer service skills.
• Strong written and verbal communication skills.
• Highly detail oriented and organized.
• Excellent interpersonal skills.
• Knowledge of medical terminology.

Responsibilities

• Review schedules and identify uninsured/under-insured patients.
• Conduct comprehensive review of services, insurance coverages, previous balances and payment history; create a detailed estimate.
• Develop global packages for self-pay patients/guarantors promptly within 24 business hours of request.
• Advocate for patients by educating costs and out-of-pocket estimates.
• Assist patients/guarantors with payment plans and alternate payment sources.
• Process credit card payments securely per PCI standards.
• Collaborate with departments, providers, insurers and agencies to resolve balances.
• Train new recruits in Patient Benefit Advising; act as Subject Expert and resource.

Skills

Customer service

Written and verbal communication

Detail oriented

Interpersonal skills

Medical terminology

2 years experience

Education

High school diploma

Job description

The University of Miami/UHealth Department of Clinical Access has an exciting opportunity for a full-time Patient Benefits Advisor 2.

Core Job Summary

The Patient Benefits Advisor 2 ensures that patients have adequate insurance coverage for services received and advises patients when there are any gaps in coverage so that appropriate payment arrangements can be made.

Core Responsibilities

• Reviews schedules and identifies patients who are uninsured/under-insured and/or have previous balances.
• Conducts comprehensive review of scheduled services, insurance coverages, previous balances, and payment history and creates a detailed estimate.
• Develops global packages for self-pay patients/guarantors promptly within 24 business hours of request.
• Serves as a patient benefit and financial advisor advocate by making outbound calls and/or meeting with patients and/or guarantors in order to educate and facilitate their understanding of the costs associated with the health care services they need, how much their insurance covers and what will be their out of pocket costs and provides them with a detailed estimate of costs.
• Assists patient/guarantors in meeting their financial obligations by offering payment plans and/or identifying alternate payment sources prior to date of service.
• Processes credit card payments made over the telephone in accordance with Payment Card Industry (PCI) security standards and monitors and follows up on pending deposits/payments.
• Establishes and maintains effective collaborative working relationships with other departments, providers, insurance companies, federal, state, or local agencies to assist patient/guarantor in meeting financial obligations.
• Provides statements in accordance with established policies and procedures.
• Strives to meet or exceed established individual and departmental key performance indicator goals.
• All collection efforts are clearly documented in system and provides follow-up of accounts until they are resolved.
• Acts as a liaison and collaborates with the On-site Pt. Access Team, CBO, and Clinical Departments in resolving any charge or previous outstanding balance discrepancies.
• Trains new recruits in the Patient Benefit Advising team regarding procedures and systems and is the Subject Expert Matter and a resource to co-workers and internal customers.
• Performs other duties as assigned.
• 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 2 years of relevant experience
• Any relevant education, certifications and/or work experience may be considered.

Knowledge, Skills, and Abilities

• Strong customer service skills
• Strong written and verbal communication skills
• Highly detail oriented and organized
• Excellent interpersonal skills
• Knowledge of medical terminology

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