Patient Access Representative 3

University of Miami•North Miami, FL

19h•Onsite

About The Position

The Patient Access Representative 3 (On-Site) oversees the registration and financial clearance activities that will facilitate reimbursement for services rendered by the department and serves as functional expert for department peers. This role is part of UHealth-University of Miami Health System, South Florida's only university-based health system, providing leading-edge patient care powered by groundbreaking research and medical education at the Miller School of Medicine. As an academic medical center, the system serves South Florida, Latin America, and the Caribbean, with physicians representing over 100 specialties and sub-specialties and more than one million patient encounters each year. The University of Miami is a vibrant and diverse academic and healthcare community, recognized as one of the nation’s top research universities and academic medical centers.

Requirements

High School Diploma or equivalent/relevant experience, certification or license
Minimum 3 years of relevant experience required
Refer to department description for applicable certification requirements
Ability to learn new procedures, technologies, and protocols, and adapt to changing priorities and work demands (Learning Agility)
Ability to work collaboratively with others and contribute to a team environment (Teamwork)
Skilled in using office software, technology, and relevant computer applications (Technical Proficiency)
Strong and clear written and verbal communication skills for interacting with colleagues and stakeholders (Communication)

Responsibilities

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 Access Representatives.
Recommends new approaches to management for enhancing performance and productivity.
Adheres to University and unit-level policies and procedures and safeguards University assets.