Patient Benefit Advisor 2

University of Miami•Miami, FL

13d

About The Position

The University of Miami/UHealth Department of Clinical Access is hiring a full-time Patient Benefits Advisor 2. The role ensures patients have adequate insurance coverage for services and advises them about coverage gaps so that appropriate payment arrangements can be made. The advisor reviews scheduled services, insurance coverage, previous balances, and payment history to prepare detailed cost estimates, and develops global packages for self-pay patients or guarantors within 24 business hours of a request. The advisor educates patients and guarantors about healthcare costs, insurance coverage, and out-of-pocket expenses; helps them meet their financial obligations through payment plans or alternate payment sources; processes telephone credit card payments in accordance with Payment Card Industry security standards; and monitors pending deposits and payments. The role also maintains collaborative relationships with internal departments, providers, insurers, and government agencies, documents collection efforts, follows accounts through resolution, and supports discrepancy resolution. The advisor trains new team members and serves as a subject matter expert and resource to colleagues and internal customers. Other duties may be assigned.

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

Review schedules and identify patients who are uninsured or underinsured and/or have previous balances.
Review scheduled services, insurance coverage, previous balances, and payment history, and prepare detailed estimates.
Develop global packages for self-pay patients or guarantors within 24 business hours of a request.
Make outbound calls and/or meet with patients and guarantors to explain healthcare service costs, insurance coverage, out-of-pocket expenses, and detailed cost estimates.
Offer payment plans and/or identify alternate payment sources to help patients and guarantors meet financial obligations before the date of service.
Process telephone credit card payments in accordance with Payment Card Industry (PCI) security standards and monitor and follow up on pending deposits and payments.
Maintain collaborative working relationships with departments, providers, insurance companies, and federal, state, or local agencies to assist patients and guarantors with financial obligations.
Provide statements in accordance with established policies and procedures.
Strive to meet or exceed individual and departmental key performance indicator goals.
Clearly document collection efforts in the system and follow up on accounts until resolved.
Liaise and collaborate with the On-site Patient Access Team, CBO, and Clinical Departments to resolve charge or outstanding-balance discrepancies.
Train new Patient Benefit Advising team recruits on procedures and systems.
Serve as a subject matter expert and resource to coworkers and internal customers.
Perform other duties as assigned.