Patient Access Specialist (On-Site) (H)

University of Miami•Miami, FL

10d•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 that affect the patient experience. The specialist serves as a functional expert for department peers and supports team adherence to established policies and procedures. The role involves obtaining and verifying patient information and insurance coverage, arranging authorizations and referrals, notifying patients of financial liabilities, maintaining accurate records, and addressing technical inquiries. The specialist also serves as a lead resource for lower-level Patient Services staff, recommends improvements to performance and productivity, and helps foster compassionate relationships among staff, patients, and families. The position requires independent work and effective handling of stress and complex patient inquiries.

Requirements

High school diploma or equivalent/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 written and verbal communication skills.

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 eligibility and coverage benefits; notify patients and referring physicians when 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 Services staff.
Recommend new approaches to management to enhance performance and productivity.
Use critical thinking to respond to technical issues from patients, physicians, and employees through phone, email, web messages, or fax.
Work independently and deal effectively with stress, 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.
Adhere to University and unit-level policies and procedures and safeguard University assets.