Patient Benefit Advisor 2, Remote, Full Time

University of Miami•Miami, FL

9d•Remote

About The Position

The Patient Benefits Advisor 2 ensures that patients have adequate insurance coverage for services received and advises patients when there are any gaps in coverage so that appropriate payment arrangements can be made. 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. 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

High School diploma
Minimum 2 years of relevant experience
Strong customer service skills
Strong written and verbal communication skills
Highly detail-oriented and organized
Excellent interpersonal skills
Knowledge of medical terminology

Responsibilities

Greets every individual on the phone or in person with a smile and a warm, professional greeting.
Coordinates with appropriate scheduling department to schedule patient appointments when prior authorizations have not been obtained or have been denied.
Assists departments with inquiries into the status of accounts, pre-certification, eligibility, financial estimates and department policies and procedures.
Ensures all patient information is secure and all paperwork disposed of appropriately to preserve confidentiality.
Ensures that prior authorizations are obtained and fully documented prior to the receipt of services.
Contacts physician offices to obtain missing patient information.
Utilizes patient estimate tools and insurance company contacts to obtain accurate out-of-pocket estimates, documents these estimates, and generates estimate letters.
Updates patient accounts as necessary with correct insurance information.
Submits insurance referral documentation in a timely fashion.
Adheres to University and unit-level policies and procedures and safeguards University assets.