Surgery Services Representative 2 (H) Full Time Bascom Palmer Eye Institute Miami, FL

University of Miami; Miami (FL); On-site; USD 45,000 - 65,000; Full time

Job summary

The University of Miami, Bascom Palmer Eye Institute, has an exciting full time opportunity for a Surgery Services Representative 2 in Miami, Florida.

The Surgery Services Representative 2 oversees scheduling, billing coordination, and credentialing to ensure an excellent patient experience. It requires 3 years of experience and a high school diploma or equivalent, with proficiency in office software and strong communication.

Qualifications

• High School Diploma or equivalent or relevant experience.
• Minimum 3 years of relevant experience.
• Knowledge of medical records, billing, and scheduling processes.

Responsibilities

• Manages operating room and anesthesia schedules and records.
• Verifies patient insurance eligibility and coverage.
• Collaborates with billing and physicians to ensure complete medical records.
• Maintains organized charges records and documentation in the system.
• Responds to complex customer grievances and resolves issues.
• Obtains authorizations, pre-certifications, and referrals; informs patients of liabilities.
• Creates estimates for hospital and professional fees and collects payments.
• Monitors cancellations and fills slots to minimize revenue loss.
• Supports scheduling optimization with other departments.
• Adheres to University policies and safeguards assets.

Skills

Learning Agility

Teamwork

Technical Proficiency

Communication

Education

High School Diploma or equivalent/relevant experience, certification or license

Job description

Current Employees:

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The University of Miami, Bascom Palmer Eye Institute, has an exciting full time opportunity for a Surgery Services Representative 2 in Miami, Florida.

The Surgery Services Representative 2 oversees and serves as source of knowledge for junior representatives with the goal of ensuring an excellent healthcare experience for patients. Additionally, the incumbent supervises scheduling, reconciliation, and credentialing functions of the department to ensure compliance with guidelines.

CORE JOB FUNCTIONS

• Acquires and reconciles operating room schedules, surgical, and anesthesia records to ensure accuracy and compliance.
• Verifies insurance information, confirms eligibility of patient coverage benefits, and obtains missing information from patients' families or physicians' offices.
• Works directly with billing staff and physicians to ensure medical records are complete and in compliance with regulations.
• Maintains organized records of charges by batching patient records by date of service and ensures accurate documentation in the system of record.
• Responds to and resolves complex customer grievances.
• Obtains necessary authorizations, pre-certifications, and referrals, and notifies patients of liabilities prior to date of service.
• Creates estimates for both hospital and professional fees and collects funds as appropriate.
• Monitors cancellations to maintain schedules and quickly identifies and fills cancelled slots to mitigate decreased provider productivity and loss of revenue.
• Collaborates with scheduling departments to identify add-on patients and supports scheduling optimization.
• 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

Education:

High School Diploma or equivalent/relevant experience, certification or license

Experience:

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

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