Sr. Patient Access Representative - Per Diem

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The University of Miami UHealth System, Department of International Health, has an exciting opportunity for a Per Diem Sr. Patient Access Representative to work at the Dominion Tower in Miami. The incumbent oversees pre-registration and clearance activities and serves as functional expert for department peers. Further, the Sr. Patient Access Representative assumes responsibility for documenting all necessary data that will facilitate reimbursement for services rendered by the department.

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.

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

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

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

Department Specific Functions

• Performs full registration ensuring insurance is verified and all information is correct.

• Verifies patient demographic, insurance information for accuracy and edits information as necessary.

• Obtains copies of insurance cards, pertinent documents, and medical records when applicable. 

• Assures all demographic insurance information is accurate, complete and up to date on patient’s screen.

• Requests medical records.

• Creates case guarantor case type.

• Assigns and logs patient cases to coordinators.

• Manages UHealth International inbox inquiries and distributes appropriately.

• Prioritizes cases and volume of inquiries

• Manages and troubleshoots patient complaints

• Handles and routes all incoming calls to respective task buckets and personnel.

• Determines the appropriate questionnaires and forms to instruct patient to complete.

• Sends duplicate accounts for merging.

• Maintains different operational logs and metrics.

• Distribute and log agreements.

• Scan pertinent medical records and completed agreements/Letter of agreements (LOG) into EPIC.

• Schedules appointments for International Medical Director. 

• Multitasks and priorities cases as appropriate.

• Answer incoming telephone calls.

• Performs other duties as assigned

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                                                                                        

Education:

High School diploma or equivalent

Experience:

Minimum 3 years of relevant experience

Knowledge, Skills and Attitudes:

• 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 both oral and written form.

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The University of Miami offers competitive salaries and a comprehensive benefits package including medical,