Patient Access Representative 3

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 Representative 1 to work at our Coral Gables location.

Core Job Summary:

The Patient Access Representative 3 (On-Site) (H) 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 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 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. 

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  

 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. 

Any relevant education, certifications and/or work experience may b