Sr. Patient Access Representative

University of Miami•Miami, FL

1d•Onsite

About The Position

The University of Miami/UHealth Department Anesthesiology has an exciting opportunity for a full-time. Sr. Patient Access Representative to work in Miami, FL. The Sr. Patient Access Representative oversees pre-registration and clearance activities and serves as functional expert for department peers. Further, the Sr. Patient Access Representative assumes responsibility for documenting all necessary data that will facilitate reimbursement for services rendered by the department.

Requirements

High School diploma or equivalent
Minimum 1 years of relevant experience
Knowledge of generally accepted accounting procedures and principles.
Skill in completing assignments accurately and with attention to detail.
Ability to process and handle confidential information with discretion.
Ability to work independently and/or in a collaborative environment.
Ability to communicate effectively in both oral and written form.
Any relevant education, certifications and/or work experience may be considered.

Responsibilities

Obtains, confirms, and enters demographic, financial, and clinical information necessary for financial clearance of scheduled patient accounts.
Contacts patients’ families or physicians’ offices to obtain missing insurance information.
Verifies insurance and confirms insurance eligibility of patient coverage benefits, notifying patient and referring physician in the event of failed eligibility.
Collaborates with scheduling departments to identify add-on patients.
Schedule Interventional procedures
Procedure coding
Medication Prior Authorizations
Obtains necessary authorizations, pre-certifications, and referrals.
Notifies patients of liabilities prior to date of service.
Recommends new approaches to management for enhancing performance and productivity.
Maintains appropriate records, files, and accurate documentation in the system of record.
Adheres to University and unit-level policies and procedures and safeguards University assets.
Identify, process, and track procedure peer to peers
Employee will process medication prior to authorizations
Coordination with physicians for attorney conference calls and/or depositions
Responsible for the completion of Worker’s Compensation DWC25 forms
Scheduling and coding interventional procedures
Review of clinical schedules (DAR)
Create, submit, and follow up with Medication and interventional procedure appeals