Job Description
Current Employees:
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The University of Miami/UHealth Central Business Office has an exciting opportunity for a full-time Supervisor, Patient Access to work remotely. This position is responsible for the day to day operation of the Central Insurance Verification Department (CIV) for the University of Miami Health System. The Supervisor will lead a team of Insurance Verification Representatives in the delivery of insurance verification, financially clearing future visits, documentation and verification of health insurance coverage information. The Supervisor and staff will utilize the EPIC system and various third party sites for the verification of eligibility and benefits for patients scheduled at the University of Miami Medical Group and the University of Miami Hospital Division (ABLEH & UMHC/SCCC). Success in this position requires the ability to manage staff schedules based on call demand, monitor metrics to ensure consistent service and access in accordance with University policy, partner with faculty, administrators, and staff for patient access planning, and promote and foster an environment where staff feels a sense of “purpose, worthwhile work, and making a difference.” This position supports our vision, mission, goals and objectives by providing patient-centric access to our world renowned medical care.
CORE JOB FUNCTIONS
Supervises over the daily work flows of staff to ensure optimum performance levels.
Monitors daily workflow and communicates to the manager any issues including pending visits due to authorization or denial/re-directed by health plan or PCP offices.
Works with Manager to conduct and review performance appraisals of direct reports, identifies performance problems, and initiates disciplinary actions. Evaluates subordinates performance by establishing objectives and measurements for supervisors. Provides constructive performance feedback on a consistent basis.
Investigates inquires made by: Faculty, Administration, Department Director and Manager, providing prompt feedback
Serve as subject matter expert during in-service sessions to keep the staff current on insurance and registration/scheduling guidelines.
Supervise, orient, train, evaluate and monitor on the job performance for staff responsible for verification of benefits, obtaining authorization and registration of insurance information in UChart.
Assist the Patient Access Manager with planning, organizing and scheduling for the daily expected volumes of visits pending verification and authorization within 14days of scheduled appointment, including same day appointments and add-on in office procedures for the UMMG Practice.
Responsible for completion of employee time records in Workday and monitors employees’ time, i.e., sick, overtime, vacation.
Stay current on all system utilized, including telecom systems and various UChart (Epic) modules, and develop and administer training to staff.
Run daily productivity report to ensure that team is meeting established standards and goal and performs regular quality assurance reviews to ensure team member are adhering to the policies and procedures.
Effectively and accurately communicate policy changes and all business operation updates to staff on a timely basis. Conducts department wide meetings to maintain two- way communication, problems solving, and relaying information
Attends meetings, prepares reports and presentations and gathers and analyzes data regarding trends and changes, providing recommendations and solutions
Demonstrates positive Human Relations skills, utilizing effective leadership and effective written and oral communication skills
Motivates employees through use of positive reinforcement and recognition of employee problems with efforts to resolve these problems.
Ensure adherence to University policies, procedures, and standards of behavior, and administer corrective actions to staff who do not uphold the same.
Hold staff accountable to meeting all of their job requirements.
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
High school or equivalent
Five (5) years of experience in registration/insurance verification or in a healthcare related field. Experience in managing staff a plus.
Strong written and oral communication skills.
Able to work in a team environment.
Graceful under pressure and stressful situations.
Comfortable designing and delivering small and/or large group training
Ability to manage and coordinate the activities of other employees and ensure a high level of performance.
Knowledge of insurance verification procedure.
Computer skills that include MS office.
Knowledge of EPIC (preferred)
Any relevant education, certifications and/or work experience may be considered.
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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. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.
Job Status:
Full timeEmployee Type:
Staff