Patient Access Representative 2 (On-Site) - UHealth Primary Care - North Miami at University of Miami in Miami, Florida

Patient Access Representative

The University of Miami UHealth Primary Care - North Miami has an exciting opportunity for a Patient Access Representative. 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. The Patient Access Representative 2 (On-Site) registers patients for clinical services by obtaining pertinent information, verifying insurance benefits, explaining pertinent documents, and collecting payments.

Core Job Functions:

• 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 and collects funds.
• Maintains appropriate records, files, and accurate documentation in the system of record.
• Adheres to University and unit-level policies and procedures and safeguards University assets.

Core Qualifications:

Education: High School Diploma or equivalent/relevant experience, certification or license

Experience: Minimum 2 years of relevant experience required

Certification and Licensing: Refer to department description for applicable certification requirements

Knowledge, Skills and Abilities:

• 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.