Patient Access Specialist (On-Site) (H)

Current Employees:

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

Core Job Summary:

This is a budgeted replacement Patient Access Specialist position that is critical to continue operations and maintain service levels at our Coral Gables Dermatology location. This practice is open M-F 7:00AM-7PM and occasional Saturdays. It also supports all the on-site and remote upfront revenue cycle and clinical support functions including Check-in/out, Pre-service and Coordination of Care and is essential to process patients promptly and avoid operational clinic flow bottlenecks. Failure to fill this position will have a negative impact on patient and provider satisfaction, clinic patient flow, physicians’ schedules, up-front collections and overtime costs, including RN’s and clinical staff. Mrs. Jennifer Pineda has resigned due to personal reasons.

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. 

• 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 Services staff. 

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

• Deploys critical thinking while responding to a variety of technical issues from patients, physicians and employees via phone, email, web messages, fax, or email. 

• Works independently and deals effectively with stress, due to heavy workload and the handling of complex patient inquiries. 

• Serves as a role model, facilitator, and coach in developing a culture of compassion and caring through building healthy relationships among staff, patients, and families. 

• Projects a professional appearance and pleasant demeanor creating a welcoming atmosphere. 

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

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 required 

Minimum 3 years of relevant experience  

Knowledge, Skills and Attitudes: 

• Skill in data entry and completing assignments accurately and with attention to detail. 

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

• Ability to process and handle confidential information with discretion. 

• Ability to analyze, organize and prioritize work under pressure while meeting deadlines. 

• Outstanding interpersonal skills with a commitment to service excellence 

• Able to handle multiple tasks, software systems, and technologies simultaneously. 

• Ability to establish and maintain effective working relationships with patients and staff. 

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