Sr. Patient Accounts Representative (H)

Current Employees:

If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet.

The University of Miami/UHealth Department of Neurological Surgery has an exciting opportunity for a full time, hybrid Sr. Patient Accounts Representative to work in Miami, FL. The Senior Patient Accounts Representative ensures that patient demographic information is accurate and that funding source is billed and collected appropriately. The Senior Patient Accounts Representative uses advanced knowledge of billing procedures and coding expertise to assist management in the training of staff and in assuring compliance with protocols and regulations.

CORE JOB FUNCTIONS

• Submits claims to insurance companies and follows up on outstanding claims.

• Processes, remits, and posts payments to patients’ accounts.

• Reconciles monthly charges, identifies any errors, and researches coverage policies.

• Assists patients with insurance and billing questions.

• Sets up budget plans on outstanding accounts, mails copies of budget agreements to patients, monitors compliance, and follows up on any payment delinquencies.

• Receives and reviews patient, insurance, and attorney correspondence, researches issues, and provides written responses.

• Enters all returned mail and stale checks in the database and researches to acquire updated address information to reprocess items.

• Recommends policy and procedural changes to management for review as needed.

• 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.

DEPARTMENT SPECIFIC JOB FUNCTIONS      

• This position is responsible for assisting neurological surgeon(s) with administrative, clerical and scheduling duties.

• In addition to administrative duties, this position includes scheduling patient appointments and diagnostic tests and acting as liaison between physicians and patients.

• It also includes keeping physicians’ calendars, answering and returning phone calls, receiving/sorting/distributing mail, completing/submitting Business Expense  Reimbursement Forms and Vacation/Scientific Leave Forms, updating physicians CVs, and maintaining accurate documentation regard trainings and licensure requirements/certificates.

• Transcribe dictation including manuscripts, correspondence, curriculum vitae, and other papers 

• Responsible for obtaining authorization for all elective scheduled procedures 

• Obtains necessary authorizations, pre-certifications, and referrals.

• Obtains, confirms, and enters demographic, financial, and clinical information necessary for financial clearance of scheduled patient accounts.

• Working with physician nurse to complete spinal forms for insurance plans as necessary

• Obtaining CPT codes from Coder to submit authorization request

• Contacts patients’ families or physicians’ offices to obtain missing insurance information.

• Verifying insurance contracted with Physician and Facility

• Verifies insurance and confirms insurance eligibility and facility contracts of patient coverage benefits, notifying patient and referring physician in the event of failed eligibility.

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

• Collaborates with scheduling departments to identify add-on patients.

• 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.

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

• 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 deadli