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

University of Miami; United States; On-site; USD 42,000 - 66,000; Full time

Job summary

The University of Miami, Bascom Palmer Eye Institute, invites applications for a full-time Surgery Services Representative 2 in Miami, Florida. The role oversees scheduling, reconciliation, and credentialing to ensure an excellent patient experience and compliance.

The incumbent may supervise junior representatives and coordinate with billing and clinical teams. Core duties include acquiring schedules, verifying insurance, maintaining records, and handling complex customer inquiries.

Qualifications

• High School Diploma or equivalent or relevant experience.
• Minimum 3 years of relevant experience required.
• Ability to learn new procedures, technologies, and protocols.
• Ability to work collaboratively within a team.
• Proficiency with office software and technology.
• Strong written and verbal communication skills.

Responsibilities

• Acquires and reconciles operating room schedules, surgical, and anesthesia records for accuracy and compliance.
• Verifies insurance information, confirms eligibility, and obtains missing data.
• Works with billing staff and physicians to ensure complete medical records.
• Maintains organized records of charges and ensures accurate documentation.
• Responds to and resolves complex customer grievances.
• Obtains authorizations, pre-certifications, and referrals, and notifies patients of liabilities.

Skills

Learning Agility

Teamwork

Technical Proficiency

Communication

Education

High School Diploma or equivalent

Job description

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

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.