Patient Access Specialist (On-Site) (H)

University of Miami•Miami, FL

8d•Onsite

About The Position

The Patient Access Specialist (On-Site) coordinates complex duties supporting front-end revenue cycle and clinic functions for hospital and clinic operations, with an impact on the patient experience. The specialist serves as a functional expert for department peers and oversees team adherence to established policies and procedures. The role supports financial clearance of scheduled patient accounts by collecting and confirming demographic, financial, and clinical information; verifying insurance eligibility and benefits; obtaining authorizations, pre-certifications, and referrals; and notifying patients of liabilities and collecting funds before their date of service. It also involves maintaining accurate records, supporting patients and colleagues with complex inquiries, and serving as a lead resource and coach for lower-level Patient Services staff. The University of Miami describes this as a full-time staff position in its Department of Clinical Access. The position is on-site. The University offers competitive salaries and a comprehensive benefits package, including medical, dental, and tuition remission.

Requirements

High school diploma or equivalent, or relevant experience, certification, or license.
At least 3 years of relevant experience.
Ability to learn new procedures, technologies, and protocols and adapt to changing priorities and work demands.
Ability to work collaboratively and contribute to a team environment.
Proficiency with office software, technology, and relevant computer applications.
Strong, clear written and verbal communication skills for interacting with colleagues and stakeholders.

Responsibilities

Obtain, confirm, and enter demographic, financial, and clinical information needed for financial clearance of scheduled patient accounts.
Contact patients’ families or physicians’ offices to obtain missing insurance information.
Verify insurance and confirm patient coverage eligibility and benefits; notify 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 and files, and document accurately in the system of record.
Serve as a lead resource for lower-level Patient Services staff.
Recommend new approaches to management to enhance performance and productivity.
Use critical thinking to respond to technical issues raised by patients, physicians, and employees through phone, email, web messages, and fax.
Work independently and deal effectively with stress from a heavy workload and complex patient inquiries.
Model, facilitate, and coach a culture of compassion and caring by building healthy relationships among staff, patients, and families.
Maintain a professional appearance and pleasant demeanor to create a welcoming atmosphere.
Follow University and unit-level policies and procedures and safeguard University assets.