Patient Access Representative 3, Full Time

University of Miami•Miami, FL

4d•Onsite

About The Position

The Patient Access Representative 3 (On-Site) (U) 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 responsible for obtaining, confirming, and entering demographic, financial, and clinical information necessary for financial clearance of scheduled patient accounts. The representative will also contact patients’ families or physicians’ offices to obtain missing insurance information, verify insurance and confirm eligibility, and notify patients and referring physicians in the event of failed eligibility. Collaboration with scheduling departments to identify add-on patients, obtaining necessary authorizations, pre-certifications, and referrals, and notifying patients of liabilities prior to the date of service and collecting funds are also key functions. The role involves maintaining appropriate records, files, and accurate documentation, serving as a lead resource for lower-level Patient Access Representatives, and recommending new approaches to management for enhancing performance and productivity. Adherence to University and unit-level policies and procedures and safeguarding University assets are expected.

Requirements

High School diploma or equivalent
Minimum 3 years of relevant experience
Knowledge of generally accepted accounting procedures and principles.
Skill in completing assignments accurately and with attention to detail.
Ability to process and handle confidential information with discretion.
Ability to work independently and/or in a collaborative environment.
Ability to communicate effectively in both oral and written form.

Responsibilities

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