Patient Access Representative 3
The University of Miami Health System at Doral has an exciting opportunity for a full-time Patient Access Representative 3 position.
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 Job Functions :
- 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.
- Obtains 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.
Core Qualifications :
High school diploma or equivalentMinimum 3 years of relevant experienceKnowledge 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.Knowledge of health care regulatory guidelines and compliance requirements including but not limited to : OSHA, HIPAA, JC, AHCA, EMTALA, and CMS.Outstanding interpersonal and customer service skills with a commitment to service excellence.Excellent critical thinking, analytical, troubleshooting, and problem-solving skills.Computer literate with the ability to acquire proficiency utilizing multiple systems and technology.Ability to handle multiple tasks, software systems, and technologies simultaneously in a fast paced, constantly changing environment.Ability to work as an integral team member under minimal supervision, in a fast-paced, complex, and highly stressful environment.Knowledge of generally accepted accounting principles with excellent mathematical and cash management skills.Ability to establish and maintain effective working relationships with physicians, co-workers, other departments, and patients of all ages, and from across a broad range of cultural and social economic backgrounds.Skill in completing assignments accurately with attention to detail.Ability to work independently and / or in a collaborative environment.Adherence to punctuality and attendance standards, remaining flexible to meet departmental needs and ensure appropriate clinic flow.The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.