Patient Access Representative 3 (On-Site) (U)

University of Miami•Miami, FL

4d•Onsite

About The Position

The Patient Access Representative is responsible for obtaining, confirming, and entering demographic, financial, and clinical information necessary for the financial clearance of scheduled patient accounts. This role involves contacting patients' families or physicians' offices to obtain missing insurance information, verifying insurance and confirming eligibility, and notifying patients and referring physicians of any issues. The representative will also collaborate with scheduling departments, obtain necessary authorizations, pre-certifications, and referrals, notify patients of liabilities, and collect funds. Additionally, this position serves as a lead resource for lower-level Patient Access Representatives and recommends new approaches for enhancing performance and productivity. The role requires adherence to University and unit-level policies and procedures and safeguarding 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.

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.
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.