Patient Benefits Advisor 2 (H)

University of Miami•Miami, FL

1d•Onsite

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. This role involves coordinating with scheduling departments for patient appointments when prior authorizations are not obtained or denied, assisting departments with inquiries regarding account status, pre-certification, eligibility, financial estimates, and policies. The advisor is responsible for securing patient information, disposing of paperwork appropriately, obtaining and documenting prior authorizations, contacting physician offices for missing patient information, and utilizing patient estimate tools and insurance company contacts to provide accurate out-of-pocket estimates and generate estimate letters. Additionally, the role requires updating patient accounts with correct insurance information and submitting insurance referral documentation in a timely fashion, while adhering to University and unit-level policies and procedures.

Requirements

High School diploma or equivalent
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.