Job Information
University of Miami Sr Patient Accounts Representative - $1,500 Sign On Bonus in Miami, Florida
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 using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER_eRecruiting_ApplyforaJob.pdf) .
$1,500 Sign On Bonus
The Department of Neurological Surgery is currently seeking a full time Sr. Patient Accounts Representative to work in Miami, FL. The Senior Patient Accounts Representative ensures that patient demographic information is accurate and that funding source is billed and collected appropriately. The Senior Patient Accounts Representative uses advanced knowledge of billing procedures and coding expertise to assist management in the training of staff and in assuring compliance with protocols and regulations.
CORE JOB FUNCTIONS
Submits claims to insurance companies and follows up on outstanding claims.
Processes, remits, and posts payments to patients’ accounts.
Reconciles monthly charges, identifies any errors, and researches coverage policies.
Assists patients with insurance and billing questions.
Sets up budget plans on outstanding accounts, mails copies of budget agreements to patients, monitors compliance, and follows up on any payment delinquencies.
Receives and reviews patient, insurance, and attorney correspondence, researches issues, and provides written responses.
Enters all returned mail and stale checks in the database and researches to acquire updated address information to reprocess items.
Recommends policy and procedural changes to management for review as needed.
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 required
Experience:
Minimum of 3 years of relevant experience required
Department Specific Functions
Responsible for obtaining authorization for all elective scheduled procedures
Working with physician nurse to complete spinal forms for insurance plans as necessary
Obtaining CPT codes from Coder to submit authorization request
Verifying insurance contracted with Physician and Facility
Notifying patient if non-contracted (physician and facility)
Notifying patient of financial responsibility (out of pocket, deductible, co-insurance)
Requesting Single Case Negotiation letters from 2nd party, once out of network auth is approved
Re-verifying eligibility status if cases fall in the in the consecutive month
Working in conjunction with PCPs office in obtaining referrals/ authorization
Update Insurance information in UChart in a timely manner.
Submit/Communicate with 3rd party vendors by sending approvals to the corresponding facility.
Updating (JMH)Cerner with the CPT codes
Working with international and domestic self-pay teams in requesting quotes
Work with Physician, Nurse Liaison and Administrative Assistant to appeal any denial or Peer to Peer review to ensure all procedures are authorize prior to date of service.
Set up peer to peer with healthplan
Notifying physician of denials
Notifying patients of denial or pending cases >3 days prior to surgery
Prepare surgical package for Billing with all pertinent information including authorization
Attend staff meetings
Answers the phone in a prompt and courteous manner, relaying messages accurately and timely.
Other duties as assigned
Knowledge, Skills and Attitudes:
Skill in completing assignments accurately and with attention to detail.
Ability to analyze, organize and prioritize work under pressure while meeting deadlines.
Ability to process and handle confidential information with discretion.
Proficiency in computer software (i.e. Microsoft Office).
Ability to communicate effectively in both oral and written form.
#ED-LI1
The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.
UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.
Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination. Failure to meet this requirement will result in rescinding or termination of employment.
The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here (https://www.hr.miami.edu/careers/eo-ada/index.html) for additional information.
Job Status:
Full time
Employee Type:
Staff
Pay Grade:
H4
The mission of the University of Miami is to transform lives through education, research, innovation, and service. A vibrant and diverse academic and healthcare community, the University of Miami and the University of Miami Health System ("UHealth") have rapidly progressed to become one of the nation’s top research universities and academic medical centers in the nation.
The University comprises 12 schools and colleges serving undergraduate and graduate students in more than 350 majors and programs. Visit welcome.miami.edu/about-um to learn more about our points of pride.
The University ranks No. 55 on U.S. News & World Report’s 2022 Best Colleges list and ranked No. 49 in the 2022 Wall Street Journal/Times Higher Education College Rankings.
Bascom Palmer Eye Institute is ranked the #1 eye hospital in the USA and offers some of the nation's premiere eye doctors to treat every eye condition for adults. Sylvester Comprehensive Cancer, part of the Miller School of Medicine, received the prestigious National Cancer Institute designation in 2019.
The University of Miami and UHealth have also ranked among the Forbes Best Employers and Best Employers for Women on several occasions, most recently in 2022.
Transforming lives
With more than 17,000 faculty and staff, the University strives for excellence, and is driven by a powerful mission to transform and impact the lives of its students, patients, members of the community, and people across the globe.
The University is committed to fostering a culture of belonging, where everyone feels valued and has the opportunity to add value. Through values of Diversity, Integrity, Responsibility, Excellence, Compassion, Creativity, and Teamwork (DIRECCT) the U community works together to create an environment driven by purpose, excellence, community, and service.