Sr. Surgery Services Representative (H) Full Time Bascom Palmer Eye Institute Naples, FL

Current Employees:

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The University of Miami, Bascom Palmer Eye Institute, has an exciting full time opportunity for a Sr. Surgery Services Representative in Naples, Florida.

The Sr. Surgery Services Representative (H) oversees and serves as source of knowledge for junior representatives with the goal of ensuring an excellent healthcare experience for patients. Additionally, the incumbent supervises scheduling, reconciliation, and credentialing functions of the department to ensure compliance with guidelines.

Core Job Functions

• Acquires operating room schedules and reconciles surgical and anesthesia records.

• Verifies insurance information and takes appropriate steps to obtain any missing information.

• Works directly with billing staff and physicians to ensure medical records are complete and in compliance with regulations.

• Maintains an organized record of charges by batching patient records by date of service.

• Responds to and resolves complex costumer grievances.

• 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

Experience:

Minimum 3 years of relevant experience

Knowledge, Skills and Attitudes:

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

• 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.

• Proficiency in computer software (i.e. Microsoft Office).

DEPARTMENT ADDENDUM

• Schedules and registers patients as per established policies and procedures in both the UChart and CARE systems.

• Performs these tasks accurately with attention to detail to ensure the highest quality of standards and in accordance with all HIPAA guidelines relating to patient confidentiality and privacy.

• Locates clinic chart, out guides clinic chart to appropriate area and makes copies of clinical notes.

• Obtains pertinent documents from patients and makes copies for scanning into the UChart scanning system.

• Validates patient identification by using two main identifiers in addition to patient name (Date of Birth, Social Security Number, and/or Medical Record Number).

• Creates visit and ensures that the appropriate Patient Type & Location is used during the registration process since this task directly affects the billing process, clinical systems outcome and medical records management.

• Reviews and verifies registration data in UChart and makes any appropriate changes as necessary including insurance coverage information, Bypass warnings, registration work queues, and completion of Medicare Secondary Payer Questionnaire, if applicable.

• Interviews patient to determine financial classification status. Reviews financial liability with each patient and explains hospital and professional fees, as well as Global and Flat Fee options.

• Explains insurance benefits/coverage, if applicable and collects required financial liability. Refers patients unable to meet financial obligations to the on-site Financial Counselor.

• Documents all financial transactions in UChart.

• Informs the patient of all required forms, obtains all required signatures, and distributes copies accordingly.

• Review visit and check that the FSC and insurance plan are the appropriate and applicable ones according to insurance or self-pay/global study status.

• Refer to Insurance Verifier or verify by utilizing the on line web sites or telephone services, and obtaining eligibility and benefits,