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Full-time
high school
Medical, Dental, Tuition remission
Posted 3d ago
~40 hrs/week
Responsibilities
The Lead Surgery Services Representative coordinates complex surgery scheduling and front-end revenue cycle functions to optimize patient access and clinic revenue. The role also serves as a subject matter expert, providing training, supervision, and support to department peers.
Requirements
Candidates must have a high school diploma or equivalent and a minimum of 3 years of relevant experience. Proficiency in computer software and strong organizational and communication skills are required.
Full job description
Current Employees:
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet.
The University of Miami, Bascom Palmer Eye Institute, has an exciting full time opportunity for a Lead Surgery Services Representative in the Department of Patient Access in Miami, Florida.
The Lead Surgery Services Representative (H) coordinates a wide range of complex surgery scheduling and front-end revenue cycle clinic functions that impact the patient experience, surgical volume, and revenue. The incumbent serves as functional expert for department peers and oversees team adherence with established policies and procedures.
CORE JOB FUNCTIONS
Obtains, confirms, and enters demographic, financial, and clinical information necessary for financial clearance of scheduled patient accounts.
Monitors cancellations to maintain schedules and quickly identify and fill cancelled slots to mitigate decreased provider productivity and loss of revenue.
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.
Creates a patient identification band for each patient in accordance with patient safety and risk management protocols and validates information when placing the band.
Collaborates with scheduling departments to identify add-on patients.
Creates estimates for both hospital and professional fees.
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 and assists with training.
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
Education:
High school diploma or equivalent required
Certification and Licensing:
Not Applicable
Experience:
Minimum 3 years of relevant experience
Knowledge, Skills and Attitudes:
Skilled in data entry and completing assignments accurately and with attention to detail.
Skilled in prioritizing and organizing tasks.
Ability to communicate effectively in both oral and written form.
Ability to process and handle confidential information with discretion.
Ability to work independently and/or in a collaborative environment.
Ability to analyze, organize and prioritize work under pressure while meeting multiple deadlines.
Ability 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.
Works well under unstructured work environments/processes.
Flexible with shifts on day-to-day tasks and responsibilities.
Able to switch rapidly between different tasks effectively.
Adaptable to new responsibilities.
Handles distractions well.
Manage large call volume daily 30+ calls
Proficiency in computer software (i.e. Microsoft Office).
Department Specific Functions
Establishes and maintains a close collaborative working relationship and open communication with providers, support clinical team, and patients.
Coordinates and schedules all pre-operative and post-operative visits, and surgical procedures promptly in the system in accordance with complex specialty provider instructions.
Validates patient identification by obtaining pertinent documents and verifying identity by using two main identifiers, and scanning documents into system.
Creates a patient identification band for each patient in accordance with patient safety and risk management protocols and validates information when placing the band.
Interviews patients and verifies demographic and financial registration data in electronic system and makes appropriate changes as necessary including insurance coverage information.
Conducts critical communication with patients and legal guardian facilitating the understanding of and obtaining signature on legal, ethical, and compliance related documents that must be presented and thoroughly explained to the patient or legal guardian prior to services being rendered.
Ensures all required documents, consents, implants, or tissues are available prior to procedure.
Verifies insurance information, obtains benefits, and determines financial classification.
Reviews and identifies discrepancies in auto generated estimates and creates accurate detailed hospital and professional estimates as needed.
Explains insurance benefits/coverages, global/flat fee options, and collects co-payments, deductibles, co-insurance, and non-covered amounts for both hospital & professional fees prior to surgery.
Promptly works all bypass warnings, registration work queues, and Medicare Secondary Payer Questionnaire, if applicable. Confirms that Consent for Surgery has been signed by patient and provider and procedure listed is validated against surgery schedule, follows up if necessary.
Reviews and follows up with appropriate departments to ensure that all pre-op results are available prior to the procedure.
Orders, creates purchase orders, and keeps track of implants or tissues needed from external vendors, as needed.
Arranges for bed assignment or transfer, if applicable. Works with healthcare team to resolve unique situations and troubleshoot issues.
Meets established individual and departmental key performance indicator goals: Co-pay, Previous Balances, Estimate Collections, Patient Satisfaction, Accuracy Rates, and Processing Time.
Responds to and resolves complex scheduling and billing inquiries, and patient grievances.
Cancels and reschedules all visits and surgeries as needed due to Provider Call Outs, or weather conditions.
Cross trained and able to float and cover other surgery specialties.
Serves as subject matter expert resource to Surgery Services Representatives and assists with training and supervision.
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.
The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.
Job Status:
Full time
Employee Type:
Staff
Related keywords
Surgery schedulingRevenue cyclePatient accessInsurance verificationFinancial clearanceMedical billingPatient registrationElectronic health recordsMicrosoft OfficeCompliancePatient safetyRisk managementHealthcare administrationSchedulingData entryCustomer service
Delivering leading-edge patient care by the region’s best doctors, powered by groundbreaking research at The U.
Industry
Hospitals and Health Care
Company size
10,001+ employees
Headquarters
Miami, Florida
LinkedIn followers
40,880
UHealth – University of Miami Health System delivers leading-edge patient care by top-ranked physicians who treat some of the most complex cases. Powered by the Miller School of Medicine’s ground-breaking research and medical education, UHealth is the region’s only academic-based health care system. With a comprehensive network of nearly 40 outpatient facilities, its flagship hospital in the heart of Miami’s Health District, and more than 2,700 physicians and healthcare providers across South Florida, UHealth is a vital component of the community that is leading the next generation of health care. UHealth is home to Bascom Palmer Eye Institute, the No. 1 ranked eye hospital in the nation by U.S. News & World Report, Sylvester Comprehensive Cancer Center, the region’s only NCI-designated cancer center, and Desai Sethi Urology Institute, dedicated to urologic research and discovery, and a neurology and neurosurgery program ranked in the top 25 in the nation. These programs along with 100 other specialties make UHealth a trusted destination for compassionate, research-based care. UHealth is dedicated to continually developing an inclusive and rewarding culture for our talent - including hiring pledges with Military.com, AARP and a growing list of partners. UHealth has been honored on Becker's Healthcare 150 Top Places to Work List, emphasizing our commitment to the well-being and growth of our incredible faculty and staff. We also received the 2024 Platinum Bell Seal Certification by Mental Health America (MHA). The University of Miami was recognized by Forbes as one of the Best Employers for Women in 2023 and 2022. You can learn more about opportunities at UHealth at careers.miami.edu.
Offices: 1400 NW 12th Ave, Miami, Florida 33136, US · 5555 Ponce De Leon Boulevard, Coral Gables, FL 33146, US · 8932 SW 97th Ave, Miami, Florida 33176, US · 8100 SW 10 ST Plantation, Plantation, FL 33324, US · 1150 NW 14th St, Miami, FL 33136, US
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