Contract Reimbursement Representative

University Of Miami Miller School Of Medicine Coral Gables , FL 33134

Posted 6 months ago

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.

Where Excellence Meets Purpose

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 purpose 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 University has been named on Forbes's Best Employers list for two consecutive years, and is the only university in Florida to receive this honor.

UHealth Central Business Office is seeking a Contract Reimbursement Representative that coordinates communications with payers to ensure accurate reimbursement and billing practices. Further, the Representative serves as a liaison between applicable company departments to streamline reimbursement practices.

Some of the primary responsibilities include:
1.Ensures all claims are paid according to the guidelines.
2.Meets regularly with departments to identify and resolve any payment issues and denial trends.
3.Works with management to develop revenue budgets on trend analysis.
4.Addresses reimbursement related inquiries, assesses patients' coverage options, and provides eligibility and benefit verification.
5.Consults and advises physicians with billing problems and initiates plans for solving such problems.
6.Evaluates and assists with providing data to negotiate managed care contracts.
7.Reviews patient care account receivables and works with the collectors to reduce outstanding underpayment and denied claims.
8.Adheres to University and unit-level policies and procedures and safeguards University assets.

The minimum requirements are a High School diploma or equivalent required. Minimum 1 year of relevant experience required. Any appropriate combination of relevant education, experience and/or certifications may be considered.

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 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:

c102



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Contract Reimbursement Representative

University Of Miami Miller School Of Medicine