Patient Representative Jobs

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Patient Access Representative 3, Full Time

University of Miami•Miami, FL
•Onsite

About The Position

The Patient Access Representative 3 oversees registration and financial clearance activities to facilitate reimbursement for services rendered by the department and serves as a functional expert for department peers. This is an on-site position at UHealth Tower with a Monday–Friday schedule from 7:30 AM to 4:00 PM. The role obtains and enters the demographic, financial, and clinical information needed to financially clear scheduled patient accounts; confirms insurance coverage and eligibility; obtains authorizations, pre-certifications, and referrals; and informs patients of financial liabilities before service. The representative also serves as a lead resource for lower-level Patient Access Representatives and recommends approaches to improve performance and productivity. Duties may be expanded or adjusted according to departmental needs.

Requirements

  • High school diploma or equivalent.
  • Minimum 3 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 oral and written form.

Responsibilities

  • Obtain, confirm, and enter demographic, financial, and clinical information necessary for financial clearance of scheduled patient accounts.
  • Contact patients’ families or physicians’ offices to obtain missing insurance information.
  • Verify insurance and confirm patient coverage eligibility and benefits; notify the patient and referring physician when eligibility fails.
  • Collaborate with scheduling departments to identify add-on patients.
  • Obtain necessary authorizations, pre-certifications, and referrals.
  • Notify patients of liabilities before the date of service and collect funds.
  • Maintain appropriate records, files, and accurate documentation in the system of record.
  • Serve as a lead resource for lower-level Patient Access Representatives.
  • Recommend new approaches to management to enhance performance and productivity.
  • Adhere to University and unit-level policies and procedures and safeguard University assets.

Benefits

  • Competitive salaries.
  • Medical benefits.
  • Dental benefits.
  • Tuition remission.

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