Patient Access Specialist

The University of Miami/UHealth Department of Clinical Access has an exciting opportunity for a full-time Patient Access Specialist.

Core Job Summary:                                                                                                                            

The Patient Access Specialist (On-Site) (H) is responsible for coordinating a wide range of complex duties that support front end revenue cycle and clinic functions for hospital and clinic operations that impact the patient experience. Serves as functional expert for department peers and oversees team adherence with established policies and procedures.

Core Responsibilities:

• 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 prior to date of service and collects funds.

• Maintains appropriate records, files, and accurate documentation in the system of record.

• Serves as a lead resource for lower-level Patient Services staff.

• Recommends new approaches to management for enhancing performance and productivity.

• 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.

• Serves as a role model, facilitator, and coach in developing a culture of compassion and caring through building healthy relationships among staff, patients, and families.

• Projects a professional appearance and pleasant demeanor creating a welcoming atmosphere.

• 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:

High school diploma or equivalent required

Minimum 3 years of relevant experience

Knowledge, Skills and Attitudes:

• Skill in data entry and completing assignments accurately and with attention to detail.

• 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.

• Ability to establish and maintain effective working relationships with patients and staff.

• Knowledge of generally accepted accounting procedures and principles.

Any relevant education, certifications and/or work experience may be considered.