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Other, Full-time
high school
Medical, Dental, Tuition remission
Posted 15d ago
~40 hrs/week
Responsibilities
The Sr. Patient Access Representative oversees pre-registration and financial clearance activities while documenting necessary data to facilitate reimbursement. They also manage medication prior authorizations, procedure coding, and coordinate with physicians for clinical scheduling.
Requirements
Candidates must have a high school diploma or equivalent and at least one year of relevant experience. Proficiency in accounting principles and the ability to handle confidential information with discretion 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/UHealth Department Anesthesiology has an exciting opportunity for a full-time. Sr. Patient Access Representative to work in Miami, FL. The Sr. Patient Access Representative oversees pre-registration and clearance activities and serves as functional expert for department peers. Further, the Sr. Patient Access Representative assumes responsibility for documenting all necessary data that will facilitate reimbursement for services rendered by the department.
CORE JOB FUNCTIONS
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.
Schedule Interventional procedures
Procedure coding
Medication Prior Authorizations
Obtains necessary authorizations, pre-certifications, and referrals.
Notifies patients of liabilities prior to date of service.
Recommends new approaches to management for enhancing performance and productivity.
Maintains appropriate records, files, and accurate documentation in the system of record.
Adheres to University and unit-level policies and procedures and safeguards University assets.
Department Specific Functions
Identify, process, and track procedure peer to peers
Employee will process medication prior to authorizations
Coordination with physicians for attorney conference calls and/or depositions
Responsible for the completion of Worker’s Compensation DWC25 forms
Scheduling and coding interventional procedures
Review of clinical schedules (DAR)
Create, submit, and follow up with Medication and interventional procedure appeals
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
Minimum 1 years of relevant experience
Knowledge of generally accepted accounting procedures and principles.
Skill in completing assignments accurately and with attention to detail.
Ability to process and handle confidential information with discretion.
Ability to work independently and/or in a collaborative environment.
Ability to communicate effectively in both oral and written form.
Any relevant education, certifications and/or work experience may be considered.
#LI-NN1
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.
How many Healthcare jobs are open in Coral Gables, FL right now?
There are currently 1,655 open healthcare positions in Coral Gables, FL listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Healthcare roles in Coral Gables, FL?
Companies currently hiring include University of Miami Health System-Uhealth, University of Miami Health System, Baptist Health, Coral Gables Hospital, GastroMed, LLC, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Healthcare jobs in Coral Gables, FL?
Yes — 89 of the 1655 open healthcare positions offer remote or hybrid work (26 remote, 63 hybrid).
How do I apply for Healthcare jobs in Coral Gables, FL?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.