(Temporary Medical) Patient Access Representative – UMHC Plantation

The University of Miami is considered among the top tier institutions of higher education in the U.S. for its academic excellence, superior medical care, and cutting-edge research. At the U, we are committed to attracting a talented workforce to support our common purpose of transforming lives through teaching, research, and service. Through our values of Diversity, Integrity, Responsibility, Excellence, Compassion, Creativity and Teamwork (DIRECCT) we strive to create an environment where everyone contributes in making UM a great place to work. We are one of the largest private employers in Miami-Dade County; home to more than 13,400 faculty and staff from all over the world.

UMHC-SCCC-Plantation 1 has an opportunity for a (Temporary Medical) Patient Access Representative. The incumbent performs full registration ensuring that insurance is verified and all information is correct. Verifies patient demographic and insurance information and edits information as necessary. Obtains copies of insurance cards, driver license, and HMO referrals/authorization when applicable. Assures all demographic insurance information is accurate, complete and up to date on patient’s screen. Explains Consent for Treatment, Financial Liability and HIPAA (if applicable) to patient; obtains signatures. Determines the appropriate questionnaires required by individual physicians and instruct patient to complete, prior to their visit. Prints an arrival label and instructs the patient to appropriate waiting area. Schedules follow-up appointments as indicated by the physician adhering to Patient Appointments Policies and Procedures. Edits, Cancels, No-Shows patient appointment accurately with a zero % margin of error rate. Follows Patient Appointment guidelines pertaining to overbooking, scheduling, appointment types, etc. Reconciles all vouchers placing them by providers. Delivers Vouchers to designated area. Answer incoming telephone calls to the clinic. May serve as a team lead or subject matter expert to other employees. Monitors patient flow and communicates to Clinic Supervisor of any issues, including wait times, in the registration area throughout the day. Scheduling all types of exams with attention to specific anatomical descriptions for the Department of Radiology Imaging Services (i.e. left knee, abdomen, and brain). Coordinates the sequence of multiple exam orders to ensure proper prep and timeliness of exams. Obtaining information from the referring physician’s as required for the exam, such as: obtaining the Department of Radiology order form via email or fax prior to scheduling an appointment. Verify that the radiology order form obtains patients name, DOB, MRN, specific type of test(s) ordering, patient’s diagnosis (ICD-9 code), brief description of patient’s signs and symptoms, ordering practitioner’s signature (Stamp signatures will not be accepted), and unique National provider identification number (NPI). Verify and update demographic information in UChart. Request the financial class, and inquire into status of authorization (HMO). Verify the diagnosis by checking the Health-works ABN module for UMHC and ADIC Medicare recipients for proper coding and medical necessity. For any denials which Medicare coverage is required — the physician must be notified of the denied diagnosis code for the exam ordered and/or the non-covered procedure. The ABN will be filled out by the on-site Insurance verifier, and notification will be given to the patient prior to their appointment. If the patient agrees with the terms – this form will be signed by the patient at registration. Notify on-site insurance verifiers via email of any same day or next day appointments. Inform patient of any pending authorization and deductible requirements on their behalf prior to having the exam performed. Inquire patients medical history and document in Uchart (i.e. inquire if patient has history of renal failure/disease, diabetic, chemotherapy, allergies, etc). Notify appropriate parties if patient requires labs or premedication for allergies.Review exam requested in virtual manual to ensure accuracy of scheduled appointment. Other duties as assigned.

Minimum requirements are: High School Diploma required. One (1) year experience in a healthcare or customer service related setting preferred. Any appropriate combination of relevant education, experience and/or certifications may be considered.

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 offers competitive salaries and a comprehensive benefits package including medical and dental benefits, tuition remission, vacation, paid holidays and much more. The University of Miami is an Equal Opportunity/Affirmative Action-Veteran/Disability Employer. Come join us!

Patient safety is a top priority. As a result, during the Influenza (“the flu”) season (September through April), the University of Miami School of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination. Failure to meet this requirement will result in rescinding or termination of employment.