Sr. Patient Access Representative
3 months ago
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet.
The University of Miami is currently seeking a Sr. Patient Access Representative. The incumbent oversees pre-registration and clearance activities and serves as functional expert for department peers. Further, the Sr. Patient Access Representative assumes responsibility for documenting all necessary data that will facilitate reimbursement for services rendered by the department.
CORE JOB FUCNTIONS
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. Recommends new approaches to management for enhancing performance and productivity.
8. Maintains appropriate records, files, and accurate documentation in the system of record.
9. Adheres to University and unit-level policies and procedures and safeguards University assets.
DEPARTMENT SPECIFIC FUNCTIONS
- Performs full registration ensuring insurance is verified and all information is correct.
• Verifies patient demographic, insurance information for accuracy and edits information as necessary.
• Obtains copies of insurance cards, pertinent documents, and medical records when applicable.
• Assures all demographic insurance information is accurate, complete and up to date on patient's screen.
• Requests medical records.
• Creates case guarantor case type.
• Assigns and logs patient cases to coordinators.
• Manages UHealth International inbox inquiries and distributes appropriately.
• Prioritizes cases and volume of inquiries
• Manages and troubleshoots patient complaints
• Handles and routes all incoming calls to respective task buckets and personnel.
• Determines the appropriate questionnaires and forms to instruct patient to complete.
• Sends duplicate accounts for merging.
• Maintains different operational logs and metrics.
• Distribute and log agreements.
• Scan pertinent medical records and completed agreements/Letter of agreements (LOG) into EPIC.
• Schedules appointments for International Medical Director.
• Multitasks and priorities cases as appropriate.
• Answer incoming telephone calls.
• Performs other duties as assigned
CORE QUALIFICATIONS
Education:
High School diploma or equivalent
Experience:
Minimum 3 years of relevant experience
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.
Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination. Failure to meet this requirement will result in rescinding or termination of employment.
The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.
Job Status:
Full time
Employee Type:
Staff
Pay Grade:
H4
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