• Patient Access Representative 3 (On-Site) (H)

    University of Miami (Doral, FL)


    Current Employees:

    If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here (https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) .

     

    The University of Miami/UHealth Department of Clinical Access has an exciting opportunity for a full-time Patient Access Representative 3.

    Core Job Summary:

    The Patient Access Representative 3 (On-Site) oversees the registration and financial clearance activities that will facilitate reimbursement for services rendered by the department, and serves as functional expert for department peers.

    Core 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.

    + Maintains necessary authorizations, pre-certifications, and referrals.

    + Notifies patients of liabilities prior to date of service and collects funds.

    + Maintains appropriate records, files, and accurate documentation in the system of record.

    + Serves as a lead resource for lower level Patient Access Representatives.

    + Recommends new approaches to management for enhancing performance and productivity.

    + Adheres to University and unit-level policies and procedures and safeguards University assets.

    Department Specific Functions:

    Commitment to Service Excellence Serve as Patient Advocate and Service Ambassador by providing a favorable first impression and proactive attention to internal and external customers in order to meet or exceed expectations, address concerns, and optimize experience

     

    On-site and Remote Registration (Check in/Admission) Perform all on-site patient access registration related functions promptly without compromising patient safety, quality, service levels, and reimbursement

     

    Coordination of Care - Scheduling

     

    Coordinate scheduling on site or remote of walk ins, add ons, and follow up appointments in accordance with established guidelines and in multiple systems, i.e. UChart Cadence/Prelude/Enterprise Billing, UMCare, and RIS/PAC.

     

    Collections Identify and collect patient’s self-pay responsibility including co-pays, deductibles, co-insurances, self pay discount rates, global packages, and previous outstanding balances for both technical and professional components in POS 11 and 22 clinics thereby playing a key role in reducing AR, Bad Debt, and Collection Costs by collecting patient’s financial responsibility upfront

     

    Ancillary/Clinic Support Services Perform ancillary/clinic support duties which vary by departments and specialties (i.e. ER, Admitting, CTU, Imaging, Bariatrics, Dermatology, Infertility, Mental Health, OB GYN, Oral Surgery, Pediatrics, Plastic Surgery, etc.) that include but are not limited to the following: UChart Office Assistant functions and monitoring of Provider’s In Basket Messaging, Appt. Reminder Calls, Bump lists rescheduling, scanning.

     

    End of Day (EOD) Perform end of day duties to ensure the accuracy of all appointment/visit statuses in system

     

    Other Duties Perform other duties as assigned based on departmental needs

     

    This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

    CORE QUALIFICATIONS

    High school diploma or equivalent

     

    Minimum 3 years of relevant experience

    Knowledge, Skills and Attitudes:

    + General knowledge of office procedures and operations.

    + Skill in data entry with minimal errors.

    + Ability to communicate effectively in both oral and written form.

    + Skill in completing assignments accurately and with attention to detail.

    + Ability to process and handle confidential information with discretion.

     

    Any relevant education, certifications and/or work experience may be considered.

     

    The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

     

    UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

     

    The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here (https://www.hr.miami.edu/careers/eo-ada/index.html) for additional information.

    Job Status:

    Full time

    Employee Type:

    Staff

    Pay Grade:

    H5