Patient Benefits Advisor 2 (H)

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The Patient Benefits Advisor 2 ensures that patients have adequate insurance coverage for services received and advises patients when there are any gaps in coverage so that appropriate payment arrangements can be made.

CORE JOB FUNCTIONS

• Greets every individual on the phone or in person with a smile and a warm, professional greeting.
• Coordinates with appropriate scheduling department to schedule patient appointments when prior authorizations have not been obtained or have been denied.
• Assists departments with inquiries into the status of accounts, pre-certification, eligibility, financial estimates and department policies and procedures.
• Ensures all patient information is secure and all paperwork disposed of appropriately to preserve confidentiality.
• Ensures that prior authorizations are obtained and fully documented prior to the receipt of services.
• Contacts physician offices to obtain missing patient information.
• Utilizes patient estimate tools and insurance company contacts to obtain accurate out-of-pocket estimates, documents these estimates, and generates estimate letters.
• Updates patient accounts as necessary with correct insurance information.
• Submits insurance referral documentation in a timely fashion.
• Adheres to University and unit-level policies and procedures and safeguards University assets.

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:

• Strong customer service skills
• Strong written and verbal communication skills
• Highly detail oriented and organized
• Excellent interpersonal skills
• Knowledge of medical terminology

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.

Patient safety is a top priority. As a result, during the Influenza (“the flu”) season (September through April), the University Of Miami Miller 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.

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