University of Miami
Overview
The Department of Neurological Surgery is 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 sources are billed and collected appropriately. The Senior Patient Accounts Representative uses advanced knowledge of billing procedures and coding expertise to assist management in training staff and in assuring compliance with protocols and regulations. Responsibilities
Submits claims to insurance companies and follows up on outstanding claims. Processes, remits, and posts payments to patients’ accounts. Reconciles monthly charges, identifies 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 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. Core Qualifications
Education:
High School diploma or equivalent required. Experience:
Minimum of 3 years of relevant experience required. 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 (e.g., Microsoft Office); ability to communicate effectively in both oral and written form. Department Specific Functions
Responsible for obtaining authorization for all elective scheduled procedures. Obtains necessary authorizations, pre-certifications, and referrals. Obtains, confirms, and enters demographic, financial, and clinical information necessary for financial clearance of scheduled patient accounts. Works with physician/nurse to complete spinal forms for insurance plans as necessary. Obtains CPT codes from Coder to submit authorization requests. Contacts patients’ families or physicians’ offices to obtain missing insurance information. Verifies insurance contracted with Physician and Facility and confirms eligibility and facility contracts of patient coverage benefits, notifying patient and referring physician if eligibility fails. Notifies patients of liabilities prior to date of service and collects funds. Collaborates with scheduling departments to identify add-on patients. Responds to a variety of technical issues from patients, physicians and employees via phone, email, web messages, or fax with critical thinking. Works independently and handles heavy workload and complex patient inquiries; recommends new approaches to management for enhancing performance and productivity. Maintains effective written and verbal communication; protects confidential information; maintains relationships with patients and staff. Notifies patients of denials and prepares appropriate follow-up communications. Other related duties as assigned. Company Information and EEO
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 is South Florida’s only university-based health system, providing leading-edge patient care and research. 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. Job Status:
Full time Employee Type:
Staff Pay Grade:
H4
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The Department of Neurological Surgery is 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 sources are billed and collected appropriately. The Senior Patient Accounts Representative uses advanced knowledge of billing procedures and coding expertise to assist management in training staff and in assuring compliance with protocols and regulations. Responsibilities
Submits claims to insurance companies and follows up on outstanding claims. Processes, remits, and posts payments to patients’ accounts. Reconciles monthly charges, identifies 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 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. Core Qualifications
Education:
High School diploma or equivalent required. Experience:
Minimum of 3 years of relevant experience required. 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 (e.g., Microsoft Office); ability to communicate effectively in both oral and written form. Department Specific Functions
Responsible for obtaining authorization for all elective scheduled procedures. Obtains necessary authorizations, pre-certifications, and referrals. Obtains, confirms, and enters demographic, financial, and clinical information necessary for financial clearance of scheduled patient accounts. Works with physician/nurse to complete spinal forms for insurance plans as necessary. Obtains CPT codes from Coder to submit authorization requests. Contacts patients’ families or physicians’ offices to obtain missing insurance information. Verifies insurance contracted with Physician and Facility and confirms eligibility and facility contracts of patient coverage benefits, notifying patient and referring physician if eligibility fails. Notifies patients of liabilities prior to date of service and collects funds. Collaborates with scheduling departments to identify add-on patients. Responds to a variety of technical issues from patients, physicians and employees via phone, email, web messages, or fax with critical thinking. Works independently and handles heavy workload and complex patient inquiries; recommends new approaches to management for enhancing performance and productivity. Maintains effective written and verbal communication; protects confidential information; maintains relationships with patients and staff. Notifies patients of denials and prepares appropriate follow-up communications. Other related duties as assigned. Company Information and EEO
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 is South Florida’s only university-based health system, providing leading-edge patient care and research. 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. Job Status:
Full time Employee Type:
Staff Pay Grade:
H4
#J-18808-Ljbffr