Patient Access Representative 3, Full Time

University of Miami•Miami, FL
•Onsite

About The Position

The Patient Access Representative 3 oversees registration and financial clearance activities that facilitate reimbursement for services rendered by the department and serves as a functional expert for department peers. The position is on-site at UHealth Tower and is scheduled Monday through Friday, 7:30 AM to 4:00 PM. The role obtains, confirms, and enters the demographic, financial, and clinical information needed to financially clear scheduled patient accounts; verifies insurance coverage and eligibility; obtains authorizations, pre-certifications, and referrals; and informs patients of liabilities before service and collects funds. It also maintains accurate records and documentation, serves as a lead resource for lower-level Patient Access Representatives, and recommends improvements to management. The University of Miami offers competitive salaries and a comprehensive benefits package, including medical, dental, and tuition remission.

Requirements

  • High school diploma or equivalent.
  • Minimum of 3 years of relevant experience.
  • Knowledge of generally accepted accounting procedures and principles.
  • Ability to complete assignments accurately and with attention to detail.
  • Ability to process and handle confidential information with discretion.
  • Ability to work independently and/or collaboratively.
  • Ability to communicate effectively in oral and written form.

Responsibilities

  • Obtain, confirm, and enter demographic, financial, and clinical information necessary for financial clearance of scheduled patient accounts.
  • Contact patients’ families or physicians’ offices to obtain missing insurance information.
  • Verify insurance and confirm patient coverage benefits and eligibility, notifying the patient and referring physician if eligibility fails.
  • Collaborate with scheduling departments to identify add-on patients.
  • Obtain necessary authorizations, pre-certifications, and referrals.
  • Notify patients of liabilities before the date of service and collect funds.
  • Maintain appropriate records, files, and accurate documentation in the system of record.
  • Serve as a lead resource for lower-level Patient Access Representatives.
  • Recommend new approaches to management to enhance performance and productivity.
  • Follow University and unit-level policies and procedures and safeguard University assets.

Benefits

  • Medical benefits
  • Dental benefits
  • Tuition remission
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