Surgery Services Representative (H)

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JOB DESCRIPTION

Job Family: Patient Services

Job Function: Patient Appointment and Registration

Job Title: Surgery Services Representative

Pay Band: 4

FLSA Status: Non-Exempt (Paid Hourly)

General Description (Purpose and Function):

This individual will be responsible for assisting with credentialing, operating room schedules and reconciliation of records. Employee will review records for compliance with Case Management System (CMS) and Office of Compliance guidelines. Will be responsible for daily records coding for charge entry, insurance information and will work directly with the billing office and other assigned personnel, including surgeons, acting as liaison for the billing and credentialing offices.

Primary Duties and Responsibilities (For Non-exempt Employees Include Percent of Effort):

• Codes daily records with all necessary information for charge entry; including CPT codes, DX codes.

• Verifies insurance information such as financial class, authorizations, case numbers, etc.

• Batches all records by date of service for charge entry.

• Works directly with Billing office staff and faculty (surgeons/anesthesiologists) to obtain accurate information.

• Prior to batching, reviews all medical records to ensure 100% compliance with CMS and Office of Compliance guidelines.

• Works with faculty to ensure all medical records are in compliance.

• Responsible for daily acquisition of the Operating Room schedules and reconciliation of records.

• Performs other duties as assigned.

Knowledge, Skills, and Abilities:

• Ability to work independently with little supervision.

• Ability to work as an integral team member in a complicated environment.

• Ability to show tolerance and sensitivity in stressful situations.

• Possesses high degree of dependability.

• Proven experience with Personal Computers (PC) and Microsoft software.

• Requires excellent written and oral communication and interpersonal skills to work effectively with physicians, co-workers, other professionals and departments, and patients of all ages.

Education Requirements (Essential Requirements):

• High School Diploma or equivalent.

Work Experience Requirements (Essential Requirements):

• One (1) year of relevant experience required. Experience preferred but not required in billing, credentialing and use of EPIC system.

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:

H3