Surgery Services Representative 2 (H) Full Time Bascom Palmer Eye Institute Miami, FL

University of Miami•Miami, FL

About The Position

The Surgery Services Representative 2 at the University of Miami’s Bascom Palmer Eye Institute in Miami, Florida, oversees and serves as a source of knowledge for junior representatives, with the goal of ensuring an excellent healthcare experience for patients. The role supervises the department’s scheduling, reconciliation, and credentialing functions to ensure compliance with guidelines. The representative acquires and reconciles operating room schedules, surgical records, and anesthesia records; verifies insurance coverage and eligibility; and works with billing staff and physicians to complete medical records in compliance with regulations. The role maintains organized charge records and accurate system documentation, resolves complex customer grievances, and obtains authorizations, pre-certifications, and referrals. It also prepares fee estimates, collects funds as appropriate, monitors cancellations and fills open schedule slots, and collaborates with scheduling departments to optimize schedules. The incumbent follows University and unit policies and safeguards University assets. Duties may be expanded as necessary.

Requirements

High school diploma or equivalent/relevant experience, certification, or license.
At least 3 years of relevant experience.
Ability to learn new procedures, technologies, and protocols and adapt to changing priorities and work demands.
Ability to work collaboratively and contribute to a team environment.
Proficiency with office software, technology, and relevant computer applications.
Strong written and verbal communication skills for interacting with colleagues and stakeholders.

Responsibilities

Acquire and reconcile operating room schedules, surgical records, and anesthesia records to ensure accuracy and compliance.
Verify insurance information and patient coverage eligibility, and obtain missing information from patients’ families or physicians’ offices.
Work with billing staff and physicians to ensure medical records are complete and comply with regulations.
Organize charge records by date of service and ensure accurate documentation in the system of record.
Respond to and resolve complex customer grievances.
Obtain authorizations, pre-certifications, and referrals, and notify patients of liabilities before the date of service.
Create estimates for hospital and professional fees and collect funds as appropriate.
Monitor cancellations and identify and fill cancelled slots to mitigate decreased provider productivity and lost revenue.
Collaborate with scheduling departments to identify add-on patients and support scheduling optimization.
Follow University and unit-level policies and procedures and safeguard University assets.
Oversee and serve as a knowledge resource for junior representatives.
Supervise the department’s scheduling, reconciliation, and credentialing functions.