Patient Benefits Advisor 2, FT, Patient Access, Lennar

Job description

Job location: Coral Gables, FL

Employment Type: Full-time
Posted data: 2020-08-26
Req: R100041352
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.

Transforming Lives

The University of Miami is among the top research universities and academic medical centers in the nation, and one of the largest private employers in South Florida.

With more than 16,000 faculty and staff, the University strives for excellence, and is driven by a powerful mission to transform and impact the lives of its students, patients, members of the community, and people across the globe.

The University is committed to fostering a culture of belonging, where everyone feels valued and has the opportunity to add value. Through values of Diversity, Integrity, Responsibility, Excellence, Compassion, Creativity, and Teamwork (DIRECCT) the U community works together to create an environment driven by purpose, excellence, community, and service.

  • The department of Patient Access at Lennar is actively seeking a full-time Patient Benefits Advisor 2. The individual in this position is part of the On-site Patient Access (OPA) team responsible for processing approximately 1.3 M annual visits and serves as a patient advocate responsible for educating patients and/or guarantors on the healthcare costs associated with their care and determining their ability to meet their self-pay financial responsibility by conducting pre-service screenings which include a comprehensive review of scheduled services, charges, verification of benefits, previous balances, and estimated out of pocket expenses. Assists patients and/or guarantors in meeting their financial obligations by offering payment plans and/or identifying alternate payment sources that patient may be eligible for, such as federal, state, local or charity programs. This position plays a key role in the revenue cycle and is responsible for generating over $1.2M per year in upfront collections for the University of Miami Health System. Position requires a culturally sensitive professional with exceptional customer service and collection skills, and extensive knowledge of insurance and state/federal and local programs that can perform in a challenging high volume, fast paced work environment and meet established key performance metrics. This position supports the desired culture and philosophies of the University of Miami Health System by providing compassionate patient-centric patient access services.

Core Functions:

  • Reviews schedules and identifies patients who are uninsured/under-insured and/or have previous balances.
  • Conducts comprehensive review of scheduled services, insurance coverages, previous balances, and payment history and creates a detailed estimate.
  • Develops global packages for self-pay patients/guarantors promptly within 24 business hours of request.
  • 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 other 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 oral 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.
  • Passionate about the patient experience and the delivery of service excellence
  • Ability to work under a high level of stress with time constraints while maintaining composure and sensitivity to each patient’s specific needs.
  • High level of analytical skills required to evaluate coverages, benefits, and costs in order to formulate detailed accurate estimates.

Core Requirements:

  • High School diploma or GED equivalent
  • 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 service and collection skills. Any appropriate combination of education, certifications, and/or relevant 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.

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

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Job No:
Posted: 8/28/2020
Application Due: 9/18/2020
Work Type: