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Patient Benefit Advisor 2
Company: University of Miami Health System
Location: Miami, FL
Employment Type: Full Time
Date Posted: 09/17/2021
Expire Date: 11/17/2021
Job Categories: Healthcare, Other
Job Description
Patient Benefit Advisor 2
Description:

The Department of Clinical Access has an exciting opportunity for a full-time Patient Benefits Advisor to work on the UHealth campus. The incumbent in this position reviews schedules, identifies patients who are uninsured/under-insured and/or have previous bala
nces, and develops global packages for self-pay patients/guarantors promptly within 24 business hours of request.

CORE FUNCTIONS

Serves as a patient benefit and financial advisor advocate by making outbound calls and/or meeting with patients and/or guarantors in order to educate and facilitate their understanding of the costs associated with the health care services they need, how much their insurance covers and what will be their out of pocket costs and provides them with a detailed estimate of costs. Assists patient/guarantors in meeting their financial obligations by offering payment plans and/or identifying alternate payment sources prior to date of service.

Processes credit card payments made over the telephone in accordance with Payment Card Industry (PCI) security standards and monitors and follows up on pending deposits/payments.

Establishes and maintains effective collaborative working relationships with o
ther departments, providers, insurance companies, federal, state, or local agencies to assist patient/guarantor in meeting financial obligations.

Provides statements in accordance with established policies and procedures.

Strives to meet or exceed established individual and departmental key performance indicator goals.

All collection efforts are clearly documented in system and provides follow-up of accounts until they are resolved.

Acts as a liaison and collaborates with the On-site Pt. Access Team, CBO, and Clinical Departments in resolving any charge or previous outstanding balance discrepancies.

Trains new recruits in the Patient Benefit Advising team regarding procedures and systems and is the Subject Expert Matter and a resource to co-workers and internal customers.

Performs other duties as assigned.

Knowledge, Skills, and Abilities:

Requires excellent written and or
al communication and interpersonal skills to work effectively in a

collaborative environment with physicians, co-workers, insurance companies, outside agencies, and patients of all ages and cultural backgrounds.

In depth knowledge of Medicare/Medicaid guidelines, third party payers, charity programs, physician and hospital billing, and pricing.

Ability to organize and prioritize multiple tasks and work within short time frames in order to meet or exceed established KPI’s.

Knowledge of CPT and ICD -9 coding

High level of analytical , mathematical, collection, and computer skills essential

Bi-lingual English/Spanish preferred.

​CORE REQUIREMENTS:

High School diploma and three (3) years of relevant experience in customer service and/or sales.

The ideal candidate for this position will be a culturally sensitive professional with exceptional customer ser
vice and collection skills.

Any appropriate combination of education, certifications, and/or relevant experience may be considered.
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