Patient Benefits Advisor 2, Full Time

University of Miami; Miami (FL); Hybrid; USD 42,000 - 64,000; Full time

Job summary

The University of Miami Health System is seeking a Patient Benefits Advisor 2 in Miami to help ensure patients have adequate insurance coverage for services received and to identify gaps in coverage for timely payment arrangements. The role focuses on validating authorizations, coordinating with scheduling, and assisting departments with account inquiries.

Ideal candidates will have strong customer service, excellent communication skills, and knowledge of medical terminology.

Qualifications

• High School diploma required, 2+ years of relevant experience.
• Strong customer service skills and clear written and verbal communication.
• Highly detail-oriented and organized with excellent interpersonal abilities.

Responsibilities

• Greets every individual on the phone or in person with a smile and a warm, professional greeting.
• Coordinates with scheduling to arrange patient appointments when prior authorizations are pending or denied.
• Assists departments with inquiries into accounts, eligibility, financial estimates, and policies.
• Ensures patient information is secured and paperwork disposed of properly to maintain confidentiality.
• Obtains and documents prior authorizations prior to service receipt.
• Contacts physician offices to gather missing patient information.
• Uses patient estimate tools to obtain accurate out-of-pocket estimates and generates estimate letters.
• Updates patient accounts with current insurance information.
• Submits insurance referral documentation promptly.

Skills

Customer service

Communication

Detail-oriented

Interpersonal skills

Medical terminology

Education

High School diploma

Job description

Location: UHealth Tower Schedule: Sunday–Thursday, 10:30 AM to 7:00 PM.

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 JOB FUNCTIONS:

• Greets every individual on the phone or in person with a smile and a warm, professional greeting.
• Coordinates with appropriate scheduling department to schedule patient appointments when prior authorizations have not been obtained or have been denied.
• Assists departments with inquiries into the status of accounts, pre-certification, eligibility, financial estimates and department policies and procedures.
• Ensures all patient information is secure and all paperwork disposed of appropriately to preserve confidentiality.
• Ensures that prior authorizations are obtained and fully documented prior to the receipt of services.
• Contacts physician offices to obtain missing patient information.
• Utilizes patient estimate tools and insurance company contacts to obtain accurate out-of-pocket estimates, documents these estimates, and generates estimate letters.
• Updates patient accounts as necessary with correct insurance information.
• Submits insurance referral documentation in a timely fashion.
• 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 Minimum 2 years of relevant experience
• Knowledge, Skills, and Attitudes:
• Strong customer service skills
• Strong written and verbal communication skills
• Highly detail-oriented and organized
• Excellent interpersonal skills
• Knowledge of medical terminology

Other duties may be assigned to the above consistent with the knowledge, skills, and abilities required for the job.

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.