Patient Benefit Advisor 2, Full Time

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Location: UHealth Tower

Shift Days: Monday - Friday, Including Alternating Weekends

Shift Hours: 8:00AM - 4:30PM

The individual in this position is part of the On-site Patient Access (OPA) team responsible for processing approximately 1.3M annual visits and serves as a patient advocate responsible for educating patients and/or guarantors on the healthcare costs associated with their care and determining their ability to meet their self-pay financial responsibility by conducting pre-service screenings which include a comprehensive review of scheduled services, charges, verification of benefits, previous balances, and estimated out of pocket expenses. Assists patients and/or guarantors in meeting their financial obligations by offering payment plans and/or identifying alternate payment sources that patient may be eligible for, such as federal, state, local or charity programs. This position plays a key role in the revenue cycle and is responsible for generating over $1.2M per year in upfront collections for the University of Miami Health System. Position requires a culturally sensitive professional with exceptional customer service and collection skills, and extensive knowledge of insurance and state/federal and local programs that can perform in a challenging high volume, fast paced work environment and meet established key performance metrics. This position supports the desired culture and philosophies of the University of Miami Health System by providing compassionate patient centric patient access services.

CORE JOB FUNCTIONS:

• Reviews schedules and identifies patients who are uninsured/under-insured and/or have previous balances.

• Conducts comprehensive review of scheduled services, insurance coverages, previous balances, and payment history and creates a detailed estimate.

• Develops global packages for self-pay patients/guarantors promptly within 24 business hours of request.

• Serves as a patient benefit and financial advisor advocate by making outbound calls and/or meeting with patients and/or guarantors in order to educate and facilitate their understanding of the costs associated with the health care services they need, how much their insurance covers and what will be their out of pocket costs and provides them with a detailed estimate of costs.

• Assists patient/guarantors in meeting their financial obligations by offering payment plans and/or identifying alternate payment sources prior to date of service.

• Processes credit card payments made over the telephone in accordance with Payment Card Industry (PCI) security standards and monitors and follows up on pending deposits/payments.

• Establishes and maintains effective collaborative working relationships with other departments, providers, insurance companies, federal, state, or local agencies to assist patient/guarantor in meeting financial obligations.

• Provides statements in accordance with established policies and procedures.

• Strives to meet or exceed established individual and departmental key performance indicator goals.

• All collection efforts are clearly documented in system and provides follow-up of accounts until they are resolved.

• Acts as a liaison and collaborates with the On-site Pt. Access Team, CBO, and Clinical Departments in resolving any charge or previous outstanding balance discrepancies.

• Trains new recruits in the Patient Benefit Advising team regarding procedures and systems and is the Subject Expert Matter and a resource to co-workers and internal customers.

• Performs other duties as assigned.

CORE QUALIFICATIONS:

• High School diploma

• Three (3) years of relevant experience in customer service and/or sales

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 a