Patient Accounts Representative

Core Job Summary

The Patient Accounts Representative coordinates functions of collections and customer service on the individual patient account.

Core Responsibilities

• Responds to patient or guarantor inquiries on the status of accounts and explains accounts, while making all necessary efforts to collect payment in compliance with policies and procedures.
• Processes payments over the phone and when unable to obtain payment follows up on account until payment is received.
• Sets up budget plans on outstanding accounts, mails copy of agreements to patients, and reviews plans for compliance.
• Follows-up on defaulted agreements with a call or letter and monitors plan until default is resolved.
• Reviews on a daily basis all patient, insurance company, and attorney correspondence, researches any issues, and provides written response.
• Assists in balancing monthly cash clearing account.
• Enters all returned mail and stale check information into the search database, and acquires updated address information to reprocess returned mail and stale checks.
• Adheres to University and unit-level policies and procedures and safeguards University assets.

Department Specific Functions

• Perform insurance verifications for Transplant patients to provide and maintain financial clearance throughout the Transplant process including referral, evaluation, listing, transplant, and post- transplant related care.
• Update all systems including OTTR, UChart, Cerner, and others as needed.
• Communicate with patients on accounts or for deposits as needed.
• Review Physician and APP’s charges entered for appropriate documentation and procedure coding, and levels of care to ensure accurate and complete charge capture in Mobile Charge.
• Follow up to ensure charges are filed in UChart.
• Follow up with Physicians and staff for non-captured surgical, inpatient, outpatient, and procedure services.
• Create UChart Cases as needed for Transplant bundled payers, SCN’s, and Kidney Acquisition Fund.
• Monitor Transplant WQ’s including bundled payers, SCN’s and Kidney Acquisition Fund daily ensuring timely linking and release of charges based on diagnosis, procedure, referring physicians and medical necessity.
• Participate in special projects such as Optum/URN online, the Transplant Global Medicaid Bundled program, the Referring Physician Letter Project, or out of state Medicaid Credentialing Packages.
• Review for medical record documentation as needed for charge entry, collections, or appeals for inpatient, outpatient, or surgical care.
• Follow up with physicians and staff as needed.
• Research and use problem solving skills to resolve issues from the collections offices regarding denials, appeals, and cases until resolved.

Core Qualifications

• A High School Diploma or equivalent/relevant experience, Minimum 1 year of relevant experience required.
• 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.

Pay

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

Schedule

Full time Employee Type: Staff