Central Scheduler jobs at West Virginia University

Be part of a world-class academic healthcare system, Ingalls Memorial Hospital, as a Insurance Verifier. This position will be primarily a work from home opportunity with the requirement to come onsite as needed. You may be based outside of the greater Chicagoland area. The Insurance Verifier is under the supervision of the Patient Access leadership, initiates the process for all scheduled elective outpatient services and inpatient admissions. This includes verification for observation cases as well as add on procedures. The Insurance Verifier will be responsible for indicating if the services are financially cleared prior to the date of service. The insurance verifier will secure the necessary authorizations to support the services being ordered and in the event of an inpatient admission, they will initiate the notification of admission within the payer guidelines. They will be responsible for staying abreast of payer rules according to policy as well as state and federal billing and collection regulations. They will perform all clerical processing for completion and disposition of assigned accounts, handle patient and third-party payer inquiries as needed, makes necessary follow-up on those arrangements to ensure compliance with appropriate hospital and departmental collection policies and procedures assuring satisfactory disposition of all encounters. Essential Job Functions Responsible for obtaining daily work list assigned to the employee to begin financial clearance process prior to the date of service for elective scheduled services and within payer guidelines for the notification of admission. Obtaining the authorization for the services rendered to ensure proper reimbursement and denial mitigation. Handles all add-ons as assigned per work list, this includes STAT cases that need to be worked as priority per department policy Secure all required clinical documentation needed to obtain the authorization Maintain that all encounters needing verification is completed within 48 hours Notify the patient as well as the ordering provider if an authorization has been delayed and work with the department to reschedule the services until the authorization of financial clearance has been obtained. Secure all required clinical documentation needed to obtain the authorization Maintain that all encounters needing verification is completed within 48 hours Handling phone calls from insurance companies, doctor offices and internal departments Staying abreast of all insurance verification rules and regulations Stays informed of state and federal regulations in relation to hospital reimbursement, and maintains communication with personnel in HIM departments and the business office to ensure accurate reimbursement Documents the hospital operating system with all pertinent information to support the claim if applicable. This includes the reference number of the person you spoke with at the insurance company, the name, pending authorization, clinical information for clinical documentation, etc. Requires the ability to sufficiently understanding insurance protocols for referrals, co-payments, deductibles, allowances, etc., and analyzes information received to determine patients' out-of-pocket liabilities Run medical necessity as needed per payer Collects out-of-pocket liabilities from patients upfront and applies, adjusts, and reconciles daily point- of-service cash reports Communicates the estimated out of pocket liability for the visit. Refers self-pay patients to Financial Counseling for self-pay screening to determine if the patient is qualified for additional financial assistance. Refers patient accounts to financial counselors when further explanation/education is needed regarding denied authorizations, out-of-pocket liabilities, coverage options, payment plans, etc. Performs other clerical duties as assigned by Manager, Patient Access and/or supervisor(s) handle a variety of task with speed, and attention to detail and accuracy. Required Qualifications High school graduate or equivalent is required. Requires two to three years of demonstrated hospital and patient accounts experience with extensive knowledge in third party, payor/regulatory agency requirements. Requires good analytical and problem-solving ability Preferred Qualifications Some Medical Terminology Requires good analytical and problem-solving ability Excellent customer service skills Typing required (minimum 25-30 wpm) Experience in basic computer software programs (Microsoft Word, Excel, and Outlook) Good written and verbal communication skills Position Details Job Type: Full Time (1.0 FTE) Shift :Days (Rotational) Department: Insurance Verifier Office Location: Ingalls Memorial Hospital- Harvey (no set days in office - on as needed basis) CBA Code: Non-Union Why Join Us For nearly a century Ingalls Memorial has pioneered sophisticated clinical care and developed the area's most convenient network of comprehensive outpatient centers, all dedicated to improving the health and wellbeing of the community. Now, partnered with UChicago Medicine, we have expanded our network of expert physicians, convenient facilities and scope of service to speed your healing process and help navigate your path to wellness. A skilled Medical Staff and talented employees dedicated to prevention, diagnosis, treatment and rehabilitation of illness and injury provide a firm foundation for our reputation for quality. To accomplish this, we need employees with passion, talent and commitment… with patients and with each other. We're in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you'd like to add enriching human life to your profile, UChicago Medicine Ingalls Memorial is for you. Here at Ingalls, we're doing work that really matters. Join us! UChicago Medicine Ingalls Memorial is growing; discover how you can be a part of this pursuit of excellence at: Ingalls Career Opportunities UChicago Medicine Ingalls is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics. As a condition of employment, all employees are required to complete a pre-employment physical, background check, drug screening, and comply with the flu vaccination requirements prior to hire. Medical and religious exemptions will be considered for flu vaccination consistent with applicable law. Compensation & Benefits Overview UChicago Medicine is committed to transparency in compensation and benefits. The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position. The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of current market data, reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union. Review the full complement of benefit options for eligible roles at Benefits - UChicago Medicine .

The Patient Fin Clearance Rep is responsible for the entire scope of financial clearance activities for assigned patients before the scheduled appointment date. Financial clearance includes, but is not limited to, confirming completeness of patient registration data, verifying insurance eligibility, confirming health plan benefits, procuring PCP referrals and health plan authorizations, calculating/ collecting patient liability estimate, restricting/redirecting out of network patient, and communicating patient financial responsibility. The Patient Fin Clearance Rep ensures patient financial responsibility is communicated with consistency, clarity and transparency to ensure patients understand the cost of services they receive, their insurance coverage and limitations, and their individual responsibility. Successful performance of job duties directly impacts health system goals of streamlining clinical operation work flows as well as improving revenue cycle operations and financial performance. Licensure, Certification, or Registration Requirements for Hire: N/A Licensure, Certification, or Registration Requirements for continued employment: N/A Experience REQUIRED: Minimum three (3) years of previous experience in a health care setting to include: Experience in commercial, managed care and governmental health insurance plans and One (1) year experience in insurance plan authorization and referral requirements; or Medical billing Previous experience using a personal computer and various software applications, including Microsoft, e-mail, etc. Strong customer service skills and patients/customers centered focus in a positive manner in all situations Experience PREFERRED: Previous experience using GE-IDX Patient Registration or other medical billing/registration system Previous experience in ICD and CPT coding Previous experience using medical terminology Education/training REQUIRED: High School Diploma or equivalent Education/training PREFERRED: Post high school education in healthcare or medical billing coursework Independent action(s) required: Collects and updates patient demographic and insurance plan information Verifies insurance plan eligibility and benefits using multiple system and web-based tools, as well as calling payer and patient as necessary Calculates out-of-pocket liability and collects required deposits, co-pays, deductibles and outstanding balances from patient prior to service Refers patients to financial counselors when assistance needed to identify alternate payer source or establish payment plan Contacts in-house and community primary care physicians to secure PCP referral for consult and treatment as required by health plan Contacts health plan to secure prior authorization for procedures/testing as required by health plan Coordinates peer-to-peer review between VCUHS physicians and health plan medical directors to secure prior authorization for services Prepares all forms required to obtain payment from third party payer for services Determines when appropriate to apply additions/revisions to patient account and current visit Maintains thorough knowledge of commercial, managed care and governmental health care plans Maintains thorough knowledge of insurance plan authorization and referral requirements Supervisory responsibilities (if applicable): N/A Additional position requirements: May require work hours to periodically extend to 8:00 p.m. as necessary to resolve backlog or to contact patients for registration data. Age Specific groups served: All Physical Requirements (includes use of assistance devices as appropriate): Physical - Lifting 20-50 lbs. Activities: Prolonged sitting, Reaching (overhead, extensive, repetitive), Repetitive motion, Other: Prolong PC/keyboard usage Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking, Other: Concentrate/Focus Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment, Able to adapt to frequent change EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.

FTE- 1.0 Mon-Fri- Remote authorized in FL, GA, MO, PA, SC, TN and TX Under general supervision, the incumbent reviews, analyzes, and assigns final diagnoses and procedures based on provider documentation in accordance with all compliance policies and guidelines. This role is responsible for accurately coding office and hospital procedures to ensure appropriate reimbursement. The position also ensures the proper completion of electronic health record documentation through the accurate assignment of ICD codes, CDM codes, HCPCS, and CPT codes. Qualifications Experience Requirements: * 3 years of medical billing experience preferred * Extensive physician coding experience preferred Education: * High School Diploma or GED required Certificate / Licensure: * Certified Professional Coder (CPC) required Additional Duties: * Additional duties as assigned may vary based on departmental needs

Position Description Position TitleRegistration Management Specialist Secondary Title SchedulerGroup / Grade6 ClassificationClassifiedWork LocationAll CampusesOvertime EligibleNon-ExemptDivisionStudent Learning & SuccessDifferentialsBilingualDepartmentEnrollment ServicesReports ToAssistant RegistrarSupervision Received Works under the supervision of the Assistant Registrar and Registrar.Supervisory Responsibility Supervision is not a responsibility of this position. May oversee student employees Provides college-wide coordination for academic course and room scheduling and supports core enrollment operations. Ensures accurate term schedules and student records through data stewardship, compliance, and cross-department collaboration. Serves as a primary point of contact for scheduling and registration processes and provides training, guidance, and customer service to faculty, staff, and students. Works with minimal supervision to prioritize deadlines, resolve issues, and safeguard confidential information. Primary Responsibilities 1.Scheduling * Coordinate term course and room scheduling; maintain course, schedule, and student files. * Manage 25Live Pro and Publisher; approve events and ensure accurate room and resource data. * Liaise with department chairs, Curriculum Office, and instructional partners (e.g., SOU, OHSU) to align schedules and room assignments. * Extract data and produce reports related to scheduling, enrollment, financial aid, audits, accreditation, and space utilization. * Provide training and guidance on scheduling policies, systems (25Live Pro, my Rogue), and procedures. 2.Enrollment and Registrar Operations * Process registration, grading, and academic-standing workflows. * Maintain student records, registration communications, and term calendars. * Handle student record updates, reactivations, demographic changes, and compliance checks. * Administer system access and FERPA training for staff and student employees. * Support the Assistant Registrar and Registrar with data integrity, OCCURS reporting, and student record compliance. 3.Textbook Acquisitions * Serve as the primary contact for faculty textbook adoptions in eCampus-FAST. * Coordinate adoption windows, send reminders, and track completio * Resolve adoption changes or issues and update records in collaboration with faculty and the vendor. * ·Provide training and support to faculty and administrative assistants on textbook adoption processes. 4.Administrative & Other Duties * Serve as liaison for cross-department operational matters (Marketing, IT, Facilities). * Participate in college committees as assigned (e.g., Commencement, catalog/calendar groups, student success committees). * Maintain office SOPs, desk manuals, and administrative documentation. * ·Assist with special projects involving Enrollment Services, Curriculum, and Scheduling. * ·Performs other duties as assigned. Institutional Expectations * Demonstrates our core values of integrity, collaboration, diversity, equity, and inclusion, sustainability, and courage. * Actively contributes to a culture of respect and inclusivity by collaborating effectively with students, colleagues, and the public from diverse cultural, social, economic, and educational backgrounds. * Participates in recruitment and retention of students at an individual and institutional level in promotion of student success. * Embraces and leverages appropriate technology to accomplish job functions. * Provides high quality, effective service through learning and continuous improvement. Qualifications & Additional Position Information1.Minimum Qualifications * Education - A Bachelor's degree in business, information systems, education administration, or a related field is required. * Experience - A minimum of three years of progressively responsible experience in student records, academic scheduling, registrar/enrollment operations, data management, or closely related administrative work. A high degree of technical aptitude is required. Only degrees received from an accredited institution will be accepted: accreditation must be recognized by the office of degree authorization, US Department of Education, as required by ORS 348.609. Final candidate will be required to provide official transcripts for required degree. Any satisfactory equivalent combination of education and experience which ensures the ability to perform the essential functions of the position may substitute for the requirement(s). Please see our Applicant Guide for more information on education/experience equivalency guidelines. 2.Preferred Qualifications * Experience in a community college or academic setting. * This position is designated as preferring bilingual fluency in Spanish. Proficiency will be determined by a college-approved certification professional. Proficiency is defined by the ability to express yourself over a broad range of topics at a normal speed. You may have a noticeable accent and will make grammatical errors, for example with advanced tenses, but the errors will not cause misunderstanding to a native speaker. It is the responsibility of the employee to maintain bilingual skills throughout the duration of employment. A bilingual pay differential may apply to this role upon certification. 3.Essential Knowledge, Skills, & Abilities (Core Competencies) * Knowledge - Must possess thorough knowledge of federal student financial aid regulations and the Family Educational Rights and Privacy Act (FERPA); office procedures and archival requirements; networked databases and data management practices; and the use of computer applications, including Microsoft Office Suite. The position requires understanding of basic mathematics, human relations, and customer service principles, as well as familiarity with college instructional and registration policies. * Skills - Strong skills in customer service, organization, and multitasking are essential, along with excellent verbal and written communication abilities. The incumbent must demonstrate proficiency in current computer applications, data accuracy, and problem-solving in a fast-paced environment while maintaining a high degree of confidentiality. * Abilities - Ability to operate standard office equipment, utilize networked databases, and interpret and apply complex student records and financial aid regulations is required. The incumbent must be able to learn and apply detail-oriented, cross-functional policies and practices; manage multiple priorities in a high-traffic setting; think proactively; and communicate clearly and professionally with diverse audiences. The position requires flexibility to work at other campuses as needed, occasional evening or weekend hours during peak periods, and a high level of accuracy in verbal, written, and numerical data tasks. Proficiency in conversational Spanish is preferred. 4.Other Requirements * For assignments requiring operation of a motor vehicle, possession of a valid Oregon Driver's License or the ability to obtain one within 30-days of employment, and maintenance of an acceptable driving record are required. 5.Remote Work Options (see AP 7239 Working Remotely for more details) * This position functions as an in-person work arrangement, working on-campus with either a set schedule or flexibility depending on operational needs. 6.Physical Demands The physical demands listed below represent those that must be met by an incumbent to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with qualified disabilities to perform the essential functions. * Manual dexterity and coordination are required for over half of the daily work period (about 90%), which is spent sitting while operating office equipment such as computers, keyboards, 10-key, telephones, and scanners. While performing the duties of this position, the employee is frequently required to stand, walk, reach, bend, kneel, stoop, twist, crouch, climb, balance, see, talk, hear, and manipulate objects. The position requires some mobility, including the ability to move materials less than 5 pounds occasionally, and 5-25 pounds seldomly. This position requires both verbal and written communication abilities. 7.Working Conditions The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * While performing the duties of this position, the employee is primarily working indoors in an office environment. The employee is not exposed to hazardous conditions. The noise level in the work environment is usually moderate, and the lighting is adequate. This is a Full-time Classified, 40-hour-per-week (100%) position in the Enrollment Services department. Starting compensation is entry level for Group 6 on the 2025-26 Classified Wage Schedule. Position will remain open until filled, with screening scheduled to begin 11/11/2025. Applications received after the screening date are not guaranteed review. Documents required for submission include a cover letter and resume. Applications missing any of the listed required documents may be considered incomplete and ineligible for further review. Candidates with disabilities requiring accommodation and/or assistance during the hiring process may contact Human Resources at ************. Only finalists will be interviewed. All applicants will be notified by email after final selection is made. Final candidate will be required to show proof of eligibility to work in the United States. For position with a degree required, only degrees received from an accredited institution will be accepted; accreditation must be recognized by the Office of Degree Authorization, US Department of Education, as required by ORS 348.609. Public Service Loan Forgiveness Rogue Community College is considered a qualifying public employer for the purposes of the Public Service Loan Forgiveness Program. Through the Public Service Loan Forgiveness program, full-time employees working at the College may qualify for forgiveness of the remaining balance on Direct Loans after 120 qualifying monthly payments under a qualifying repayment plan. Questions regarding your loan eligibility should be directed to your loan servicer or to the US Department of Education. RCC is committed to a culture of civility, respect, and inclusivity. We are an equal opportunity employer actively seeking to recruit and retain members of historically underrepresented groups and others who demonstrate the ability to help us achieve our vision of a diverse and inclusive community. Rogue Community College does not discriminate in any programs, activities, or employment practices on the basis of race, color, religion, ethnicity, use of native language, national origin, sex, sexual orientation, gender identity, marital status, veteran status, disability, age, pregnancy, or any other status protected under applicable federal, state, or local laws. For further policy information and for a full list of regulatory specific contact persons visit the following webpage: **********************************

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 using the Career worklet, please review this tip sheet. The University of Miami/UHealth Department of Clinical Access has an exciting opportunity for a full-time Patient Access Associate to work at our UHealth Doral location. Core Job Summary: The Patient Access Associate (On-Site) projects a professional and welcoming demeanor and welcomes visitors (i.e., vendors, customers, patients, staff, students etc.) to the department by promptly greeting them, in person or on the telephone, and answering or referring their inquiries appropriately. The Patient Access Associate (On-Site) serves as the first point of contact for patients and customers entering facility/department and interfaces effectively with all members of the healthcare team, keeping patients informed of any delays. Core Job Summary: Serves as the first point of contact for patients and customers entering facility/department. Projects a welcoming professional demeanor and promptly greets and provides assistance by responding to routine questions and wayfinding information. Interacts and works effectively with patients of all ages, and the healthcare team to ensure a favorable first impression and positive patient/customer experience. Obtains patient identification and compares against information in EMR, to properly identify patient before marking as present. Assists patients in navigating self-serve kiosks. Queues patients for check-in/out. Identifies patients arriving late and communicates with clinical team. Confirms patient identity and places wristband on patients. Identifies patients at risk of falls and places appropriate wristband. Provides updates to patients waiting in reception area. Interfaces effectively with all members of the healthcare team and keeps patients informed of any delays. 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 required. Customer Service Experience preferred Knowledge, Skills, and Abilities: Tier 1 essential worker that provides critical functions that cannot be paused in traditional and non-traditional healthcare settings. Subject to potential contact/exposure to patients who can transmit contagious diseases. Able to be available 30 minutes prior to opening and after clinic ends, which fluctuates depending on clinic and provider, in addition to weekends, evenings, holidays, and during disastrous events (e.g., hurricanes, pandemics, etc.) Able to float and provide coverage without advance notice based on daily organizational needs, including working in offsite locations, tents or having to come onsite if working remotely. Onsite presence is required to fulfill role regarded as vital in the delivery of healthcare services regardless of environmental conditions. Adherence to punctuality and attendance standards, remaining flexible to meet departmental needs and ensure appropriate clinic flow. Ability to navigate multiple systems and independently service patients promptly in a fast paced, constantly changing environment. Knowledge of health care regulatory guidelines and compliance including but not limited to: OSHA, HIPAA, JC, AHCA, EMTALA, and CMS. Ability to recognize, analyze, solve, and de-escalate issues that may arise during workday by applying sound judgement and critical thinking. Strong telephone contact handling skills and active listening. Ability to adapt/respond to different types of situations and personalities. Excellent communication and presentation skills. Ability to prioritize and manage time effectively. Any appropriate combination of relevant education, experience and/or certifications may be considered. 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 - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information. Job Status: Full time Employee Type: Staff Pay Grade: H2

FTE: 1.0 Hours: Monday - Friday, 8:00 AM - 5:00 PM This role is responsible for reviewing, analyzing, and assigning final diagnoses and procedures as documented by the practicing provider, following all compliance policies and guidelines. The position ensures accurate coding of office and hospital procedures to guarantee proper reimbursement. Key responsibilities include: * Providing physician education to ensure proper completion of Electronic Health Records (EHR). * Ensuring correct assignment of ICD-10-CM, HCPCS, and CPT codes. * Delivering education verbally, in writing, and through hands-on training as needed. Responsibilities Responsibilities: * Review clinical documentation and code to the highest level of specificity for accurate charge capture. * Interact with providers to provide feedback and education using verbal, written, and hands-on communication methods. * Assign and sequence appropriate codes and modifiers using current procedure, diagnosis, and HCPCS codes for billed services. * Accurately follow coding guidelines and legal requirements to ensure compliance with Federal and State regulations. * Communicate with physicians, business group personnel, clinical staff, and other relevant parties regarding coding-related questions. * Manage coding-related edit work queues efficiently. * Prepare documentation audits with written results and trend data; present findings to Providers, Department Chairpersons, and/or Compliance Officers. * Maintain compliance standards according to internal policies and report compliance issues appropriately. * Identify and account for missing charges and/or documentation. * Perform coding work requiring independent judgment with timeliness and accuracy. * Perform all other duties as assigned. Qualifications Qualifications: Experience Requirements: * Minimum 3 years of medical billing experience - Preferred * Minimum 3 years of extensive experience in physician coding - Required * Experience with medical management information systems and medical software - Required Education: * High School Diploma - Required Certification / Licensure: * Certified Professional Coder (CPC) - Required at time of hire Additional Duties: * Additional duties as assigned may vary Equal Employment Opportunity Statement: UFJPI is an Equal Opportunity Employer and a Drug-Free Workplace.

Be part of a world-class academic healthcare system, Ingalls Memorial Hospital, as a Insurance Verifier. This position will be primarily a work from home opportunity with the requirement to come onsite as needed. You may be based outside of the greater Chicagoland area. The Insurance Verifier is under the supervision of the Patient Access leadership, initiates the process for all scheduled elective outpatient services and inpatient admissions. This includes verification for observation cases as well as add on procedures. The Insurance Verifier will be responsible for indicating if the services are financially cleared prior to the date of service. The insurance verifier will secure the necessary authorizations to support the services being ordered and in the event of an inpatient admission, they will initiate the notification of admission within the payer guidelines. They will be responsible for staying abreast of payer rules according to policy as well as state and federal billing and collection regulations. They will perform all clerical processing for completion and disposition of assigned accounts, handle patient and third-party payer inquiries as needed, makes necessary follow-up on those arrangements to ensure compliance with appropriate hospital and departmental collection policies and procedures assuring satisfactory disposition of all encounters. Essential Job Functions * Responsible for obtaining daily work list assigned to the employee to begin financial clearance process prior to the date of service for elective scheduled services and within payer guidelines for the notification of admission. Obtaining the authorization for the services rendered to ensure proper reimbursement and denial mitigation. * Handles all add-ons as assigned per work list, this includes STAT cases that need to be worked as priority per department policy * Secure all required clinical documentation needed to obtain the authorization * Maintain that all encounters needing verification is completed within 48 hours * Notify the patient as well as the ordering provider if an authorization has been delayed and work with the department to reschedule the services until the authorization of financial clearance has been obtained. * Secure all required clinical documentation needed to obtain the authorization * Maintain that all encounters needing verification is completed within 48 hours * Handling phone calls from insurance companies, doctor offices and internal departments * Staying abreast of all insurance verification rules and regulations * Stays informed of state and federal regulations in relation to hospital reimbursement, and maintains communication with personnel in HIM departments and the business office to ensure accurate reimbursement * Documents the hospital operating system with all pertinent information to support the claim if applicable. This includes the reference number of the person you spoke with at the insurance company, the name, pending authorization, clinical information for clinical documentation, etc. * Requires the ability to sufficiently understanding insurance protocols for referrals, co-payments, deductibles, allowances, etc., and analyzes information received to determine patients' out-of-pocket liabilities * Run medical necessity as needed per payer * Collects out-of-pocket liabilities from patients upfront and applies, adjusts, and reconciles daily point- of-service cash reports * Communicates the estimated out of pocket liability for the visit. * Refers self-pay patients to Financial Counseling for self-pay screening to determine if the patient is qualified for additional financial assistance. * Refers patient accounts to financial counselors when further explanation/education is needed regarding denied authorizations, out-of-pocket liabilities, coverage options, payment plans, etc. * Performs other clerical duties as assigned by Manager, Patient Access and/or supervisor(s) * handle a variety of task with speed, and attention to detail and accuracy. Required Qualifications * High school graduate or equivalent is required. * Requires two to three years of demonstrated hospital and patient accounts experience with extensive knowledge in third party, payor/regulatory agency requirements. * Requires good analytical and problem-solving ability Preferred Qualifications * Some Medical Terminology * Requires good analytical and problem-solving ability * Excellent customer service skills * Typing required (minimum 25-30 wpm) * Experience in basic computer software programs (Microsoft Word, Excel, and Outlook) * Good written and verbal communication skills Position Details * Job Type: Full Time (1.0 FTE) * Shift :Days (Rotational) * Department: Insurance Verifier * Office Location: Ingalls Memorial Hospital- Harvey (no set days in office - on as needed basis) * CBA Code: Non-Union Why Join Us For nearly a century Ingalls Memorial has pioneered sophisticated clinical care and developed the area's most convenient network of comprehensive outpatient centers, all dedicated to improving the health and wellbeing of the community. Now, partnered with UChicago Medicine, we have expanded our network of expert physicians, convenient facilities and scope of service to speed your healing process and help navigate your path to wellness. A skilled Medical Staff and talented employees dedicated to prevention, diagnosis, treatment and rehabilitation of illness and injury provide a firm foundation for our reputation for quality. To accomplish this, we need employees with passion, talent and commitment… with patients and with each other. We're in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you'd like to add enriching human life to your profile, UChicago Medicine Ingalls Memorial is for you. Here at Ingalls, we're doing work that really matters. Join us! UChicago Medicine Ingalls Memorial is growing; discover how you can be a part of this pursuit of excellence at: Ingalls Career Opportunities UChicago Medicine Ingalls is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics. As a condition of employment, all employees are required to complete a pre-employment physical, background check, drug screening, and comply with the flu vaccination requirements prior to hire. Medical and religious exemptions will be considered for flu vaccination consistent with applicable law. Compensation & Benefits Overview UChicago Medicine is committed to transparency in compensation and benefits. The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position. The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of current market data, reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union. Review the full complement of benefit options for eligible roles at Benefits - UChicago Medicine.

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 using the Career worklet, please review this tip sheet. The University of Miami/UHealth Department of Clinical Access has an exciting opportunity for a full-time Patient Access Representative 2 to work at our Boca Raton location. Core Job Summary: The Patient Access Representative 2 (On-Site) registers patients for clinical services by obtaining pertinent information, verifying insurance benefits, explaining pertinent documents, and collecting payments. Core Responsibilities: * Performs full registration and ensures that insurance is verified, and all patients' information is correct. * Obtains copies of insurance cards, driver's license, and any applicable referrals. * Explains Consent for Treatment, Financial Liability, and HIPAA to patients and obtains signed forms. * Instructs patients to complete any questionnaires that might be required by physician. * Schedules follow-up, cancels, and edits appointments, and records no-show patients accurately. * Reconciles all vouchers and delivers them to designated area. * Answers telephone calls and responds to questions and inquiries or transfers when appropriate. * Adheres to University and unit-level policies and procedures and safeguards University assets. Department Specific Functions: * Projects a welcoming professional demeanor. * Interacts and work effectively with patients of all ages, and the healthcare team to ensure a favorable first impression and positive patient experience. * Coordinates wide range of functions from prearrival to discharge utilizing multiple systems including but not limited to: EPIC MyChart, Grand Central ADT, Cadence, Prelude, Radiant, OP Time, Care Everywhere, Resolute, Nice in Contact Communication, and Aria Oncology simultaneously and independently to service patients promptly in a fast paced, constantly changing environment. * Performs pre-service validation prior to patient's appointment for in person or virtual visits. * Assists patients in navigating self-serve technology options including but not limited to MyChart and Self check-in kiosks, in person or remotely. * Coordinates patient flow to ensure timely check-in and arrival to service area. * Obtains, confirms, and accurately enters and updates demographic, financial, and clinical HIPAA protected information. * Reviews real time eligibility insurance responses and/or master contract tool and updates coverages as needed. * Conducts critical communication with patients or 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 prior to services being rendered. * Answers and triages incoming calls, listens to patient/customers' needs, responds to questions, provides helpful solutions, directs calls, and documents messages using appropriate software in accordance with established protocol. * Collects and processes large amounts of currency and performs end of day cash-drawer reconciliation and timely bank deposits. * Cross trained to carry out all Front-End Revenue Cycle and Clinical Support functions and able to float across all areas and assist as needed. * Knowledge of health care regulatory guidelines and compliance requirements including but not limited to: OSHA, HIPAA, JC, AHCA, EMTALA, and CMS. AREA SPECIFIC ER * Must possess a good understanding of the unique characteristics and operations of the Emergency Room to proficiently support. * Proficient knowledge of ASAP module. * Must be flexible and adjust to rotating schedules evenings, weekends, and holidays. * Able to perform ADT functions (as described under Admitting section) afterhours, weekends, and holidays. * Must adhere to PPE requirements as dictated by the specific situation. ADMITTING * Must possess a good understanding of the unique characteristics and operations of Admitting to proficiently support the area. * Proficient knowledge of ADT module. * On-call and rotating schedule for evenings, weekends, and holidays. * Explains and obtains patient acknowledgment for all required regulatory documents including but not limited to the HIPAA Facility Directory Form, and CMS MOON, HOON, and IMM notices. * Obtains information from patient to complete Patient Self Determination Checklist and collects and scans pertinent documents. * Responsible for obtaining, confirming, and documenting eligibility and benefits, and providing health plan admission notification. * Responsible for pre-admissions log to include benefits, specialty, and financial clearance. * Coordinates with bed control on bed availability. * Collaborates with Transfer Center on all incoming transfers to finalize transfer requests. * Responsible for processing admissions orders received via in-basket messaging. * Extensive collaboration with providers, nursing unit, and utilization review department in coordinating admissions. CTU * Must possess a good understanding of the unique characteristics and operations of CTU to proficiently support the area. HOSPITAL BASED CLINIC * Must possess a good understanding of the unique characteristics and operations of the hospital-based department/clinic/division to proficiently support the area. PRACTICE BASED CLINIC * Must possess a good understanding of the unique characteristics and operations of the practice-based department/clinic/division to proficiently support the area. REMOTE BASED * Must possess a good understanding of the unique characteristics and operations of remote based call center operations to proficiently support all Front-End Revenue Cycle and Clinical Support remote functions. 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 2 years of relevant experience Knowledge, Skills and Attitudes: * 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. 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 - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information. Job Status: Full time Employee Type: Staff Pay Grade: H4

FTE: .20 Shift Hours: Monday - Friday - VARIABLE Under general supervision, the Coder reviews, analyzes, and assigns final diagnoses and procedures based on provider documentation, adhering to all compliance policies and guidelines. The Coder accurately codes office and hospital procedures to ensure proper reimbursement. This position also provides physician education to ensure proper completion of Electronic Health Records and accurate assignment of ICD-10, CDM, HCPCS, and CPT codes, delivered verbally, physically, and in written form. Responsibilities Responsibilities: * Review clinical documentation and code to the highest level of specificity for accurate charge capture. * Interact with providers to provide feedback and education using verbal, written, and in-person communication. * Assign and sequence appropriate codes and modifiers using current procedure, diagnosis, and HCPCS coding for services billed. * Accurately follow coding guidelines and legal requirements to ensure compliance with federal and state regulations. * Communicate with physicians, other business group personnel, clinical areas, and staff regarding coding-related questions. * Manage coding-related edit work queues. * Prepare documentation audits with written results and trend data; present findings to the provider, department chairman, and/or compliance officer. * Maintain compliance standards in accordance with internal policies; report compliance issues appropriately. * Identify and account for missing charges and/or documentation. * Perform coding work requiring independent judgment with timeliness and accuracy. Qualifications Qualifications: Experience Requirements: * Minimum of 5 years of medical coding experience - required * Extensive experience in coding - required Education: * High School Diploma or GED equivalent - required Certification/Licensure: * Certified Professional Coder (CPC) - required at time of hire Additional Duties: * Additional duties as assigned may vary UFJPI is an Equal Opportunity Employer and a Drug-Free Workplace.

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 using the Career worklet, please review this tip sheet. The University of Miami/UHealth Central Business Office has an exciting opportunity for a full-time Insurance Verification Representative to work remotely. CORE RESPONSIBILITIES Accounts are completed in a timely manner in support of patient satisfaction and allow for referral and authorization activities prior to the patient's date of service Verification of eligibility and benefits via RTE in UChart, online insurance websites, telephone or other source of automated services Add and/or edit insurance information in UChart such as validating that the correct guarantor account and plan listed in patient's account with accurate subscriber information, policy number, and claims address and plan order. Completes the checklist and document co-pay. Creates referral if applicable, “Benefit only” or “Preauthorization”, and documents benefits information: deductible, co-insurance and out of pocket benefits Meets productivity standards for assigned work queue, QA goal of 95% or greater and maintains WQ current at 14 days out with minimum daily pending visits Assists in educating and acts as a resource to patients, primary care and specialty care practices within the UHealth system and externally Contact Primary Care Physician offices and/or Health Plans to obtain authorization or referral for scheduled services according to authorization guidelines listed in UHealth Contract Summary. Submits all necessary documentation required to process authorization request 2 Obtains authorization for both facility and provider for POS 22 and POS 19 clinics and provider only for POS 11 clinic locations\ Enters and attaches authorization information in referral section of UChart Approves referral and financially clear visits Communicates with patients and/or departments regarding authorization denial and/or re-direction of patients by health plan or PCP office Contact the Departments and/or patient when additional information is required of them or to alert regarding pending authorization status Participates in process improvement initiatives 15% Customer Service Provides customer service and assists patients and other UHealth staff with insurance related questions according to departmental standards Ensures that patients are aware of issues regarding their financial clearance and educated on the referral/authorization process Collaborates with Department and Patient Access teams to ensure that timely and concise communication occurs. Ensures service recoveries and escalations are implemented with the guidance of their supervisors and according to departmental standards and guidelines Performs other duties as assigned 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 Insurance Verification Representative High School Diploma or equivalent Minimum 1 year of relevant work experience Computer literate (EPIC scheduling and registration application experience a plus). Strong written and oral communication skills. Able to work in a team environment. Graceful under pressure and stressful situations Sr. Insurance Verification Representative High School Diploma or equivalent (3) years of direct experience in Insurance Verification and Registration. Computer literate (EPIC scheduling and registration application experience a plus). Minimum Qualifications (Essential Requirements) Strong written and oral communication skills. Able to work in a team environment. Graceful under pressure and sensitive situations High School Diploma or equivalent and (3) years' direct experience Insurance Verification and Registration. Computer literate (EPIC scheduling and registration application experience a plus). Strong written and oral communication skills. Able to work in a team environment. Graceful under pressure and sensitive situations Demonstrated knowledge of insurances, including authorization/referrals guidelines and requirements Demonstrated ability to communicate effectively in written and verbal form. Bi-lingual knowledge a plus Demonstrated ability to communicate effectively with physicians, customers, teammates and other staff Ability to interact and assist patients of all ages, cultural background and with special needs, with a passion for providing excellent service and care Ability to work under a high level of stress with time constraints while maintaining composure and sensitivity to each patient's specific needs Maintain a high level of diplomacy when dealing with stressful situations · Is innovative, proactive and resourceful in problem solving Any appropriate combination of relevant education, experience and/or certifications 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 - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information. Job Status: Full time Employee Type: Staff Pay Grade: H3

FTE: .20 Shift Hours: VARIABLE Under general supervision, the Coder reviews, analyzes, and assigns final diagnoses and procedures based on provider documentation, adhering to all compliance policies and guidelines. The Coder accurately codes office and hospital procedures to ensure proper reimbursement. This position also provides physician education to ensure proper completion of Electronic Health Records and accurate assignment of ICD-10, CDM, HCPCS, and CPT codes, delivered verbally, physically, and in written form. Responsibilities Responsibilities: * Review clinical documentation and code to the highest level of specificity for accurate charge capture. * Interact with providers to provide feedback and education using verbal, written, and in-person communication. * Assign and sequence appropriate codes and modifiers using current procedure, diagnosis, and HCPCS coding for services billed. * Accurately follow coding guidelines and legal requirements to ensure compliance with federal and state regulations. * Communicate with physicians, other business group personnel, clinical areas, and staff regarding coding-related questions. * Manage coding-related edit work queues. * Prepare documentation audits with written results and trend data; present findings to the provider, department chairman, and/or compliance officer. * Maintain compliance standards in accordance with internal policies; report compliance issues appropriately. * Identify and account for missing charges and/or documentation. * Perform coding work requiring independent judgment with timeliness and accuracy. Qualifications Qualifications: Experience Requirements: * Minimum of 3 years of medical billing experience - required * Extensive experience in coding - required * Experience with medical management information systems and medical software - required Education: * High School Diploma or GED equivalent - required Certification/Licensure: * Certified Professional Coder (CPC) - required at time of hire Additional Duties: * Additional duties as assigned may vary UFJPI is an Equal Opportunity Employer and a Drug-Free Workplace. Free Workplace.

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 using the Career worklet, please review this tip sheet. The Patient Access department has an exciting opportunity for a full time Patient Access Associate to work at the UHealth Campus. The Patient Services Associate projects a professional and welcoming demeanor and welcomes visitors (i.e., vendors, customers, patients, staff, students etc.) to the department by promptly greeting them, in person or on the telephone, and answering or referring their inquiries appropriately. Serves as the first point of contact for patients and customers entering facility/department. Projects a welcoming professional demeanor and promptly greets and provides assistance by responding to routine questions and wayfinding information. Interacts and works effectively with patients of all ages, and the healthcare team to ensure a favorable first impression and positive patient/customer experience. Obtains patient identification and compares against information in EMR, to properly identify patient before marking as present. Assists patients in navigating self-serve kiosks. Queues patients for check-in/out. Identifies patients arriving late and communicates with clinical team. Confirms patient identity and places wristband on patients. Identifies patients at risk of falls and places appropriate wristband. Provides updates to patients waiting in reception area. Interfaces effectively with all members of the healthcare team and keeps patients informed of any delays. 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. MINIMUM REQUIREMENTS: High School Diploma required. Customer Service Experience preferred Knowledge, Skills, and Abilities: Tier 1 essential worker that provides critical functions that cannot be paused in traditional and non-traditional healthcare settings. Subject to potential contact/exposure to patients who can transmit contagious diseases. Able to be available 30 minutes prior to opening and after clinic ends, which fluctuates depending on clinic and provider, in addition to weekends, evenings, holidays, and during disastrous events (e.g., hurricanes, pandemics, etc.) Able to float and provide coverage without advance notice based on daily organizational needs, including working in offsite locations, tents or having to come onsite if working remotely. Onsite presence is required to fulfill role regarded as vital in the delivery of healthcare services regardless of environmental conditions. Adherence to punctuality and attendance standards, remaining flexible to meet departmental needs and ensure appropriate clinic flow. Ability to navigate multiple systems and independently service patients promptly in a fast paced, constantly changing environment. Knowledge of health care regulatory guidelines and compliance including but not limited to: OSHA, HIPAA, JC, AHCA, EMTALA, and CMS. Ability to recognize, analyze, solve, and de-escalate issues that may arise during workday by applying sound judgement and critical thinking. Strong telephone contact handling skills and active listening. Ability to adapt/respond to different types of situations and personalities. Excellent communication and presentation skills. Ability to prioritize and manage time effectively. Any appropriate combination of relevant education, experience and/or certifications may be considered. 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 - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information. Job Status: Part time Employee Type: Staff Pay Grade: H2

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 using the Career worklet, please review this tip sheet. The department of Patient Access has an exciting opportunity for a part-time Patient Access Associate to work onsite on the UHealth campus. The Patient Access Associate (On-Site) projects a professional and welcoming demeanor and welcomes visitors (i.e., vendors, customers, patients, staff, students etc.) to the department by promptly greeting them, in person or on the telephone, and answering or referring their inquiries appropriately. The Patient Access Associate (On-Site) serves as the first point of contact for patients and customers entering facility/department and interfaces effectively with all members of the healthcare team, keeping patients informed of any delays. CORE FUNCTIONS * Greets visitors to the department and directs them to their requested destination. * Answers incoming calls and places outgoing calls, in a timely and efficient manner, while providing exceptional customer service to further a positive institutional image. * Responds to general questions and inquiries, forwards non-routine requests to appropriate staff for handling. * Assists with general administrative task, such as sorting departmental mail, faxes, troubleshooting office equipment etc. * Maintains department directories and visitation logs. Maintains a tidy and clean reception area. * Places orders for department supplies as requested by department leadership. * Projects a professional appearance and pleasant demeanor creating a welcoming atmosphere. * Adheres to University and unit-level policies and procedures and safeguards University assets. Department Specific Functions * Serves as the first point of contact for patients and customers entering facility/department. * Projects a welcoming professional demeanor and promptly greets and provides assistance by responding to routine questions and wayfinding information. * Interacts and works effectively with patients of all ages, and the healthcare team to ensure a favorable first impression and positive patient/customer experience. * Obtains patient identification and compares against information in EMR, to properly identify patient before marking as present. * Assists patients in navigating self-serve kiosks. * Queues patients for check-in/out. * Identifies patients arriving late and communicates with clinical team. * Confirms patient identity and places wristband on patients. * Identifies patients at risk of falls and places appropriate wristband. * Provides updates to patients waiting in reception area. * Interfaces effectively with all members of the healthcare team and keeps patients informed of any delays. his 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 year of relevant experience Knowledge, Skills and Attitudes: * Ability to communicate effectively in both oral and written form * Ability to handle difficult and stressful situations with professional composure * Ability to maintain effective interpersonal relationships * Ability to recognize, analyze, and solve a variety of problems * Ability to exercise sound judgment in making critical decisions * Ability to analyze, organize and prioritize work under pressure while meeting deadlines * Ability to work evenings, nights, and weekends as necessary * Tier 1 essential worker that provides critical functions that cannot be paused in traditional and non-traditional healthcare settings. * Able to float and provide coverage without advance notice based on daily organizational needs, including working in offsite locations, tents or having to come onsite if working remotely. * Subject to potential contact/exposure to patients who can transmit contagious diseases. * Able to be available 30 minutes prior to opening and after clinic ends, which fluctuates depending on clinic and provider, in addition to weekends, evenings, holidays, and during disastrous events (e.g., hurricanes, pandemics, etc.) * Onsite presence is required to fulfill role regarded as vital in the delivery of healthcare services regardless of environmental conditions. Any appropriate combination of relevant education, experience and/or certifications may be considered. 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 - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information. Job Status: Part time Employee Type: Staff Pay Grade: H2

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 using the Career worklet, please review this tip sheet. The University of Miami/UHealth Department of Clinical Access has an exciting opportunity for a full-time Patient Access Representative 1 to work at our Deerfield Beach location. Core Job Summary: The Patient Access Representative 1 (On-Site) registers patients for clinical services by obtaining pertinent information, verifying insurance benefits, and collecting payments. Core Responsibilities: Performs full registration and ensures that insurance is verified, and all patients' information is correct. Obtains copies of insurance cards, driver's license, and any applicable referrals. Explains Consent for Treatment, Financial Liability, and HIPAA to patients and obtains signed forms. Instructs patients to complete any questionnaires that might be required by physician. Schedules follow-up, cancels, and edits appointments, and records no-show patients accurately. Reconciles all vouchers and delivers them to designated area. Answers telephone calls and responds to questions and inquiries or transfers when appropriate. Adheres to University and unit-level policies and procedures and safeguards University assets. Department Specific Functions: Projects a welcoming professional demeanor. Interacts and work effectively with patients of all ages, and the healthcare team to ensure a favorable first impression and positive patient experience. Coordinates wide range of functions from prearrival to discharge utilizing multiple systems including but not limited to: EPIC MyChart, Grand Central ADT, Cadence, Prelude, Radiant, OP Time, Care Everywhere, Resolute, Nice in Contact Communication, and Aria Oncology simultaneously and independently to service patients promptly in a fast paced, constantly changing environment. Performs pre-service validation prior to patient's appointment for in person or virtual visits. Assists patients in navigating self-serve technology options including but not limited to MyChart and Self check-in kiosks, in person or remotely. Coordinates patient flow to ensure timely check-in and arrival to service area. Obtains, confirms, and accurately enters and updates demographic, financial, and clinical HIPAA protected information. Reviews real time eligibility insurance responses and/or master contract tool and updates coverages as needed. Conducts critical communication with patients or 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 prior to services being rendered. Answers and triages incoming calls, listens to patient/customers' needs, responds to questions, provides helpful solutions, directs calls, and documents messages using appropriate software in accordance with established protocol. Collects and processes large amounts of currency and performs end of day cash-drawer reconciliation and timely bank deposits. Cross trained to carry out all Front-End Revenue Cycle and Clinical Support functions and able to float across all areas and assist as needed. Knowledge of health care regulatory guidelines and compliance requirements including but not limited to: OSHA, HIPAA, JC, AHCA, EMTALA, and CMS. AREA SPECIFIC ER Must possess a good understanding of the unique characteristics and operations of the Emergency Room to proficiently support. Proficient knowledge of ASAP module. Must be flexible and adjust to rotating schedules evenings, weekends, and holidays. Able to perform ADT functions (as described under Admitting section) afterhours, weekends, and holidays. Must adhere to PPE requirements as dictated by the specific situation. ADMITTING Must possess a good understanding of the unique characteristics and operations of Admitting to proficiently support the area. Proficient knowledge of ADT module. On-call and rotating schedule for evenings, weekends, and holidays. Explains and obtains patient acknowledgment for all required regulatory documents including but not limited to the HIPAA Facility Directory Form, and CMS MOON, HOON, and IMM notices. Obtains information from patient to complete Patient Self Determination Checklist and collects and scans pertinent documents. Responsible for obtaining, confirming, and documenting eligibility and benefits, and providing health plan admission notification. Responsible for pre-admissions log to include benefits, specialty, and financial clearance. Coordinates with bed control on bed availability. Collaborates with Transfer Center on all incoming transfers to finalize transfer requests. Responsible for processing admissions orders received via in-basket messaging. Extensive collaboration with providers, nursing unit, and utilization review department in coordinating admissions. CTU Must possess a good understanding of the unique characteristics and operations of CTU to proficiently support the area. HOSPITAL BASED CLINIC Must possess a good understanding of the unique characteristics and operations of the hospital-based department/clinic/division to proficiently support the area. PRACTICE BASED CLINIC Must possess a good understanding of the unique characteristics and operations of the practice-based department/clinic/division to proficiently support the area. REMOTE BASED Must possess a good understanding of the unique characteristics and operations of remote based call center operations to proficiently support all Front-End Revenue Cycle and Clinical Support remote functions. 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 year of relevant experience Knowledge, Skills and Attitudes: General knowledge of office procedures and operations. Skill in data entry with minimal errors. Ability to communicate effectively in both oral and written form. Skill in completing assignments accurately and with attention to detail. Ability to process and handle confidential information with discretion. TIER 1 essential worker that provides critical functions that cannot be paused in traditional and non-traditional healthcare settings. Subject to potential contact/exposure to pandemics and patients with contagious diseases. Able to be available 30 minutes prior to opening and after clinic ends, which fluctuates depending on clinic and provider, in addition to weekends, evenings, holidays, and during disastrous events (e.g., hurricanes, pandemics, etc.) Able to float and provide coverage without advance notice based on daily organizational needs, including working in offsite locations, tents or having to come onsite if working remotely. Onsite presence may be required to fulfill role regarded as vital in the delivery of healthcare services regardless of environmental conditions. Knowledge of health care regulatory guidelines and compliance requirements including but not limited to: OSHA, HIPAA, JC, AHCA, EMTALA, and CMS. Outstanding interpersonal and customer service skills with a commitment to service excellence. Excellent critical thinking, analytical, troubleshooting, and problem-solving skills. Computer literate with the ability to acquire proficiency utilizing multiple systems and technology. Able to handle multiple tasks, software systems, and technologies simultaneously in a fast paced, constantly changing environment. Ability to work as an integral team member under minimal supervision, in a fast-paced, complex, and highly stressful environment. Knowledge of generally accepted accounting principles with excellent mathematical and cash management skills. Ability to establish and maintain effective working relationships with physicians, co-workers, other departments, and patients of all ages, and from across a broad range of cultural and social economic backgrounds. Skill in completing assignments accurately with attention to detail. Ability to work independently and/or in a collaborative environment. Adherence to punctuality and attendance standards, remaining flexible to meet departmental needs and ensure appropriate clinic flow. Any relevant education, certifications and/or work experience may be considered. 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 - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information. Job Status: Full time Employee Type: Staff Pay Grade: H3

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 using the Career worklet, please review this tip sheet. The University of Miami/UHealth Department of Clinical Access has an exciting opportunity for a full-time Patient Access Representative 1 to work at our UHealth Plantation location. Core Job Summary: The Patient Access Representative 1 (On-Site) registers patients for clinical services by obtaining pertinent information, verifying insurance benefits, and collecting payments. Core Responsibilities: * Performs full registration and ensures that insurance is verified, and all patients' information is correct. * Obtains copies of insurance cards, driver's license, and any applicable referrals. * Explains Consent for Treatment, Financial Liability, and HIPAA to patients and obtains signed forms. * Instructs patients to complete any questionnaires that might be required by physician. * Schedules follow-up, cancels, and edits appointments, and records no-show patients accurately. * Reconciles all vouchers and delivers them to designated area. * Answers telephone calls and responds to questions and inquiries or transfers when appropriate. * Adheres to University and unit-level policies and procedures and safeguards University assets. Department Specific Functions: * Projects a welcoming professional demeanor. * Interacts and work effectively with patients of all ages, and the healthcare team to ensure a favorable first impression and positive patient experience. * Coordinates wide range of functions from prearrival to discharge utilizing multiple systems including but not limited to: EPIC MyChart, Grand Central ADT, Cadence, Prelude, Radiant, OP Time, Care Everywhere, Resolute, Nice in Contact Communication, and Aria Oncology simultaneously and independently to service patients promptly in a fast paced, constantly changing environment. * Performs pre-service validation prior to patient's appointment for in person or virtual visits. Assists patients in navigating self-serve technology options including but not limited to MyChart and Self check-in kiosks, in person or remotely. * Coordinates patient flow to ensure timely check-in and arrival to service area. Obtains, confirms, and accurately enters and updates demographic, financial, and clinical HIPAA protected information. * Reviews real time eligibility insurance responses and/or master contract tool and updates coverages as needed. * Conducts critical communication with patients or 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 prior to services being rendered. * Answers and triages incoming calls, listens to patient/customers' needs, responds to questions, provides helpful solutions, directs calls, and documents messages using appropriate software in accordance with established protocol. * Collects and processes large amounts of currency and performs end of day cash-drawer reconciliation and timely bank deposits. * Cross trained to carry out all Front-End Revenue Cycle and Clinical Support functions and able to float across all areas and assist as needed. * Knowledge of health care regulatory guidelines and compliance requirements including but not limited to: OSHA, HIPAA, JC, AHCA, EMTALA, and CMS. AREA SPECIFIC ER * Must possess a good understanding of the unique characteristics and operations of the Emergency Room to proficiently support. * Proficient knowledge of ASAP module. * Must be flexible and adjust to rotating schedules evenings, weekends, and holidays. * Able to perform ADT functions (as described under Admitting section) afterhours, weekends, and holidays. * Must adhere to PPE requirements as dictated by the specific situation. ADMITTING * Must possess a good understanding of the unique characteristics and operations of Admitting to proficiently support the area. * Proficient knowledge of ADT module. * On-call and rotating schedule for evenings, weekends, and holidays. * Explains and obtains patient acknowledgment for all required regulatory documents including but not limited to the HIPAA Facility Directory Form, and CMS MOON, HOON, and IMM notices. * Obtains information from patient to complete Patient Self Determination Checklist and collects and scans pertinent documents. * Responsible for obtaining, confirming, and documenting eligibility and benefits, and providing health plan admission notification. * Responsible for pre-admissions log to include benefits, specialty, and financial clearance. * Coordinates with bed control on bed availability. * Collaborates with Transfer Center on all incoming transfers to finalize transfer requests. * Responsible for processing admissions orders received via in-basket messaging. * Extensive collaboration with providers, nursing unit, and utilization review department in coordinating admissions. CTU * Must possess a good understanding of the unique characteristics and operations of CTU to proficiently support the area. HOSPITAL BASED CLINIC * Must possess a good understanding of the unique characteristics and operations of the hospital-based department/clinic/division to proficiently support the area. PRACTICE BASED CLINIC * Must possess a good understanding of the unique characteristics and operations of the practice-based department/clinic/division to proficiently support the area. REMOTE BASED * Must possess a good understanding of the unique characteristics and operations of remote based call center operations to proficiently support all Front-End Revenue Cycle and Clinical Support remote functions. 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 year of relevant experience Knowledge, Skills and Attitudes: * Learning Agility: Ability to learn new procedures, technologies, and protocols, and adapt to changing priorities and work demands. * Teamwork: Ability to work collaboratively with others and contribute to a team environment. * Technical Proficiency: Skilled in using office software, technology, and relevant computer applications. * Communication: Strong and clear written and verbal communication skills for interacting with colleagues and stakeholders. * General knowledge of office procedures and operations. * Skill in data entry with minimal errors. * Ability to communicate effectively in both oral and written form. * Skill in completing assignments accurately and with attention to detail. * Ability to process and handle confidential information with discretion. Any relevant education, certifications and/or work experience may be considered. 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 - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information. Job Status: Full time Employee Type: Staff Pay Grade: H3