Patient Access Specialist

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The Patient Access Specialist (On-Site) is responsible for coordinating a wide range of complex duties that support front end revenue cycle and clinic functions for hospital and clinic operations that impact the patient experience. Serves as functional expert for department peers and oversees team adherence with established policies and procedures.

CORE JOB FUNCTIONS

• Tier 1 essential worker that provides critical functions that cannot be paused in traditional and non-traditional healthcare settings.

• Subject to potential contact with patients who can transmit infectious diseases. 

• Coordinates wide range of hospital and clinic front end revenue cycle and clinic support functions from prearrival to post discharge services.

• Obtains, confirms, and enters demographic, financial, and clinical information necessary for financial clearance of scheduled patient accounts.

• Contacts patients' families or physicians' offices to obtain missing insurance information.

• Verifies insurance and confirms insurance eligibility of patient coverage benefits, notifying patient and referring physician in the event of failed eligibility.

• Collaborates with scheduling departments to identify add-on patients.

• Obtains necessary authorizations, pre-certifications, and referrals.

• Notifies patients of liabilities prior to date of service and collects funds.

• Maintains appropriate records, files, and accurate documentation in the system of record.

• Serves as a lead resource for lower-level Patient Services staff.

• Recommends new approaches to management for enhancing performance and productivity.

• Deploys critical thinking while responding to a variety of technical issues from patients, physicians and employees via phone, email, web messages, fax, or email.

• Works independently and deals effectively with stress, due to heavy workload and the handling of complex patient inquiries.

• Serves as a role model, facilitator, and coach in developing a culture of compassion and caring through building healthy relationships among staff, patients, and families.

• Projects a professional appearance and pleasant demeanor creating a welcoming atmosphere.

• 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 or equivalent required

• Minimum 3 years of relevant experience

Knowledge, Skills and Attitudes:

• Skill in data entry and completing assignments accurately and with attention to detail.

• Ability to communicate effectively in both oral and written form.

• Ability to process and handle confidential information with discretion.

• Ability to analyze, organize and prioritize work under pressure while meeting deadlines.

• Outstanding interpersonal skills with a commitment to service excellence

• Able to handle multiple tasks, software systems, and technologies simultaneously.

• Ability to establish and maintain effective working relationships with patients and staff.

• Knowledge of generally accepted accounting procedures and principles

Any appropriate combination of relevant education, experience and/or certifications may be considered.

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.

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