University of Miami
Healthcare
Sr.PatientAccessRepresentative
Neural analysis suggests this role is
optimal for Junior candidates.
“Sr. Patient Access Representative at University of Miami. Skills: pre-registration, financial clearance, insurance verification, documentation, patient registration. Oversees pre-registration and clearance activities, serves as functional expert for department peers, and documents necessary data for reimbursement. Obtains, confirms, and enters demographic, financial, and clinical information for financial clearance. Contacts patients' families or physicians' offices for missing insurance informa”
Industry & Context.
troubleshoots patient complaints
What They're Looking For.
Must Have
High School diploma or equivalent. Minimum 3 years of relevant experience.
What You'll Do.
Oversees pre-registration and clearance activities, serves as functional expert for department peers, and documents necessary data for reimbursement.
Obtains, confirms, and enters demographic, financial, and clinical information for financial clearance.
Contacts patients' families or physicians' offices for missing insurance information.
Verifies insurance and confirms eligibility, notifying patients and referring physicians 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.
Recommends new approaches for enhancing performance and productivity.
Maintains appropriate records, files, and accurate documentation.
Adheres to University and unit-level policies and procedures and safeguards University assets.
How You'll Work.
Team & Collaboration
Serves as functional expert for department peers.
Communication Scope
contacting patients; notifying patients; handling calls
Full Job Description
**_Current Employees:_** If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click [here](https://www.myworkday.com/umiami/d/task/1422$7248.htmld) 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](https://my.it.miami.edu/wda/erpsec/tipsheets/ER_eRecruiting_ApplyforaJob.pdf). The University of Miami is currently seeking a Sr. Patient Access Representative. The incumbent oversees pre-registration and clearance activities and serves as functional expert for department peers. Further, the Sr. Patient Access Representative assumes responsibility for documenting all necessary data that will facilitate reimbursement for services rendered by the department. **CORE JOB FUCNTIONS** 1\. Obtains, confirms, and enters demographic, financial, and clinical information necessary for financial clearance of scheduled patient accounts. 2\. Contacts patients’ families or physicians’ offices to obtain missing insurance information. 3\. Verifies insurance and confirms insurance eligibility of patient coverage benefits, notifying patient and referring physician in the event of failed eligibility. 4\. Collaborates with scheduling departments to identify add-on patients. 5\. Obtains necessary authorizations, pre-certifications, and referrals. 6\. Notifies patients of liabilities prior to date of service and collects funds. 7\. Recommends new approaches to management for enhancing performance and productivity. 8\. Maintains appropriate records, files, and accurate documentation in the system of record. 9\. Adheres to University and unit-level policies and procedures and safeguards University assets. **DEPARTMENT SPECIFIC FUNCTIONS** * • Performs full registration ensuring insurance is verified and all information is correct. • Verifies patient demographic, insurance information for accuracy and edits information as necessary. • Obtains copies of insurance
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