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

Patient Access Representative 3

The University of Miami / UHealth Department of Clinical Access has an exciting opportunity for a full-time Patient Access Representative 3.

Core Job Summary :

The Patient Access Representative 3 (On-Site) 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.
• Maintains 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.

Department Specific Functions :

Area Specific

ER

Admitting

CTU

Hospital Based Clinic

Practice Based Clinic

Remote Based

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

High school diploma or equivalent

Minimum 3 years of relevant experience

Knowledge, Skills and Attitudes :