Surgery Services Representative 3 - Full Time - Bascom Palmer Eye Institute - Doral, FL

The University of Miami Bascom Palmer Eye Institute is seeking a full‑time Surgery Services Representative 3 to coordinate surgery scheduling and frontend revenue cycle functions in Doral, Florida. The role bridges junior and lead responsibilities, ensuring an excellent patient experience while supporting operational efficiency and compliance.

CORE JOB FUNCTIONS

Acquires and reconciles operating room schedules, surgical and anesthesia records to ensure accuracy and compliance. Verifies insurance information, confirms eligibility of patient coverage benefits, and obtains missing information from patients’ families or physicians’ offices. Works directly with billing staff and physicians to ensure medical records are complete and in compliance with regulations. Maintains organized records of charges by batching patient records by date of service and ensures accurate documentation in the system of record. Responds to and resolves complex customer grievances. Obtains necessary authorizations, pre‑certifications, and referrals, and notifies patients of liabilities prior to date of service. Creates estimates for both hospital and professional fees and collects funds as appropriate. Monitors cancellations to maintain schedules and quickly identifies and fills cancelled slots to mitigate decreased provider productivity and loss of revenue. Collaborates with scheduling departments to identify add‑on patients and supports scheduling optimization. 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.

CORE QUALIFICATIONS

Education: High School diploma or equivalent. Experience: Minimum 3 years of relevant experience. Knowledge, Skills and Attitudes: Learning Agility – Ability to learn new procedures, technologies, and protocols, and adapt to changing priorities and work demands. Teamwork – Ability to work collaboratively with others and contribute to a team environment. Technical Proficiency – Skilled in using office software, technology, and relevant computer applications. Communication – Strong and clear written and verbal communication skills for interacting with colleagues and stakeholders. DEPARTMENT ADDENDUM – Department Specific Functions Establishes and maintains close collaborative relationships and open communication with providers, support clinical team, and patients. Coordinates and schedules all pre‑operative and post‑operative visits and surgical procedures promptly in the system in accordance with complex specialty provider instructions. Validates patient identification by obtaining pertinent documents, verifying identity with two main identifiers, and scanning documents into the system. Creates a patient identification band for each patient in accordance with patient safety and risk management protocols and validates information when placing the band. Interviews patients and verifies demographic and financial registration data in electronic system and makes appropriate changes as necessary, including insurance coverage information. Conducts critical communication with patients and legal guardians facilitating the understanding of and obtaining signature on legal, ethical, and compliance‑related documents that must be presented and thoroughly explained prior to services being rendered. Ensures all required documents, consents, implants, or tissues are available prior to procedure. Verifies insurance information, obtains benefits, and determines financial classification. Reviews and identifies discrepancies in auto‑generated estimates and creates accurate detailed hospital and professional estimates as needed. Explains insurance benefits/coverages, global/flat fee options, and collects co‑payments, deductibles, co‑insurance, and non‑covered amounts for both hospital and professional fees prior to surgery. Promptly competes all bypass warnings, registration work queues, and Medicare Secondary Payer Questionnaire, if applicable. Confirms that Consent for Surgery has been signed by patient and provider and procedure listed is validated against the surgery schedule, following up if necessary. Reviews and follows up with appropriate departments to ensure all pre‑op results are available prior to the procedure. Orders, creates purchase orders and keeps track of implants or tissues needed from external vendors as needed. Arranges for bed assignment or transfer, if applicable. Works with healthcare team to resolve unique situations and troubleshoot issues. Meets established individual and departmental key performance indicator goals: Co‑pay, previous balances, estimate collections, patient satisfaction, accuracy rates, and processing time. Responds to and resolves complex scheduling and billing inquiries, and patient grievances. Cancels and reschedules all visits and surgeries as needed due to provider call‑outs or weather conditions. Cross‑trained and able to float and cover other surgery specialties. Serves as subject‑matter expert for the surgery specialty. The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission, and more. The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by federal law. Job Status: Full time Employee Type: Staff #J-18808-Ljbffr University of Miami