Patient Accounts Representative

University of Miami•Miami, FL

5d•Onsite

About The Position

The Miami Transplant Institute is currently seeking a Full Time Patient Accounts Representative to work in Miami. The Patient Accounts Representative coordinates functions of collections and customer service on the individual patient account. CORE RESPONSIBILITIES: Responds to patient or guarantor inquiries on the status of accounts and explains accounts, while making all necessary efforts to collect payment in compliance with policies and procedures. Processes payments over the phone and when unable to obtain payment follows up on account until payment is received. Sets up budget plans on outstanding accounts, mails copy of agreements to patients, and reviews plans for compliance. Follows-up on defaulted agreements with a call or letter and monitors plan until default is resolved. Reviews on a daily basis all patient, insurance company, and attorney correspondence, researches any issues, and provides written response. Assists in balancing monthly cash clearing account. Enters all returned mail and stale check information into the search database, and acquires updated address information to reprocess returned mail and stale checks. Adheres to University and unit-level policies and procedures and safeguards 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. Knowledge, Skills, and Abilities: Excellent customer service skills. Knowledge of Medicare/Medicaid Guidelines, Managed Care, HMOs and Non-contracted Commercial Programs. Knowledge of third party payers, physician billing and pricing. Ability to prioritize multiple tasks. Learning Agility: Ability to learn new procedures, technologies, and protocols, and adapt to changing priorities and work demands. Teamwork: Ability to work collaboratively with others and contribute to a team environment. Technical Proficiency: Skilled in using office software, technology, and relevant computer applications. Communication: Strong and clear written and verbal communication skills for interacting with colleagues and stakeholders. QUALIFICATIONS Education: High School Diploma or equivalent/relevant experience, certification or license Experience: Experience: Minimum 1 year of relevant experience required The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more. UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Job Status: Full time Employee Type: Staff The mission of the University of Miami is to transform lives through education, research, innovation, and service. A vibrant and diverse academic and healthcare community, the University of Miami and the University of Miami Health System ("UHealth") have rapidly progressed to become one of the nation’s top research universities and academic medical centers in the nation. The University comprises 12 schools and colleges serving undergraduate and graduate students in more than 350 majors and programs. Visit welcome.miami.edu/about-um to learn more about our points of pride. The University ranks No. 55 on U.S. News & World Report’s 2022 Best Colleges list and ranked No. 49 in the 2022 Wall Street Journal/Times Higher Education College Rankings. Bascom Palmer Eye Institute is ranked the #1 eye hospital in the USA and offers some of the nation's premiere eye doctors to treat every eye condition for adults. Sylvester Comprehensive Cancer, part of the Miller School of Medicine, received the prestigious National Cancer Institute designation in 2019. The University of Miami and UHealth have also ranked among the Forbes Best Employers and Best Employers for Women on several occasions, most recently in 2022. With more than 17,000 faculty and staff, the University strives for excellence, and is driven by a powerful mission to transform and impact the lives of its students, patients, members of the community, and people across the globe. The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.

Requirements

Excellent customer service skills.
Knowledge of Medicare/Medicaid Guidelines, Managed Care, HMOs and Non-contracted Commercial Programs.
Knowledge of third party payers, physician billing and pricing.
Ability to prioritize multiple tasks.
Learning Agility: Ability to learn new procedures, technologies, and protocols, and adapt to changing priorities and work demands.
Teamwork: Ability to work collaboratively with others and contribute to a team environment.
Technical Proficiency: Skilled in using office software, technology, and relevant computer applications.
Communication: Strong and clear written and verbal communication skills for interacting with colleagues and stakeholders.
High School Diploma or equivalent/relevant experience, certification or license
Minimum 1 year of relevant experience required

Responsibilities

Responds to patient or guarantor inquiries on the status of accounts and explains accounts, while making all necessary efforts to collect payment in compliance with policies and procedures.
Processes payments over the phone and when unable to obtain payment follows up on account until payment is received.
Sets up budget plans on outstanding accounts, mails copy of agreements to patients, and reviews plans for compliance.
Follows-up on defaulted agreements with a call or letter and monitors plan until default is resolved.
Reviews on a daily basis all patient, insurance company, and attorney correspondence, researches any issues, and provides written response.
Assists in balancing monthly cash clearing account.
Enters all returned mail and stale check information into the search database, and acquires updated address information to reprocess returned mail and stale checks.
Adheres to University and unit-level policies and procedures and safeguards University assets.