University of Miami
## **Current Employees:**If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click
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 .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, research issues, and provides written responses.* Enters all returned mail and stale checks in the database and research 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**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.**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.* Working with physician nurse to complete spinal forms for insurance plans as necessary* Obtaining CPT codes from Coder to submit authorization request* Contacts patients’ families or physicians’ offices to obtain missing insurance information.* Verifying insurance contracted with Physician and Facility* Verifies insurance and confirms insurance eligibility and facility contracts of patient coverage benefits, notifying patient and referring physician in the event of failed eligibility.* Notifies patients of liabilities prior to date of service and collects funds.* Collaborates with scheduling departments to identify add-on patients.* Deploys critical thinking while responding to a variety of technical issues from patients, physicians and employees via phone, email, web messages, fax, or email.* Works independently and deals effectively with stress, due to heavy workload and the handling of complex patient inquiries.* Recommends new approaches to management for enhancing performance and productivity.* Ability to communicate effectively in both oral and written form.* Ability to process and handle confidential information with discretion.* Ability to analyze, organize and prioritize work under pressure while meeting deadlines* Outstanding interpersonal skills with a commitment to service excellence.* Able to handle multiple tasks, software systems, and technologies simultaneously.* 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* 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.* 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 authorized 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* Ability to establish and maintain effective working relationships with patients and staff.* Attend staff meetings* Answers the phone in a prompt and courteous manner, relaying messages accurately and timely.* Other duties as assigned#ED-LI1The 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.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
for additional information.**Job Status:**Full time**Employee Type:**Staff**Pay Grade:**H4The 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
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 #J-18808-Ljbffr
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 .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, research issues, and provides written responses.* Enters all returned mail and stale checks in the database and research 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**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.**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.* Working with physician nurse to complete spinal forms for insurance plans as necessary* Obtaining CPT codes from Coder to submit authorization request* Contacts patients’ families or physicians’ offices to obtain missing insurance information.* Verifying insurance contracted with Physician and Facility* Verifies insurance and confirms insurance eligibility and facility contracts of patient coverage benefits, notifying patient and referring physician in the event of failed eligibility.* Notifies patients of liabilities prior to date of service and collects funds.* Collaborates with scheduling departments to identify add-on patients.* Deploys critical thinking while responding to a variety of technical issues from patients, physicians and employees via phone, email, web messages, fax, or email.* Works independently and deals effectively with stress, due to heavy workload and the handling of complex patient inquiries.* Recommends new approaches to management for enhancing performance and productivity.* Ability to communicate effectively in both oral and written form.* Ability to process and handle confidential information with discretion.* Ability to analyze, organize and prioritize work under pressure while meeting deadlines* Outstanding interpersonal skills with a commitment to service excellence.* Able to handle multiple tasks, software systems, and technologies simultaneously.* 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* 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.* 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 authorized 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* Ability to establish and maintain effective working relationships with patients and staff.* Attend staff meetings* Answers the phone in a prompt and courteous manner, relaying messages accurately and timely.* Other duties as assigned#ED-LI1The 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.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
for additional information.**Job Status:**Full time**Employee Type:**Staff**Pay Grade:**H4The 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
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 #J-18808-Ljbffr