University of Miami

Role Description 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. - 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. - 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). - Manage staff schedules based on call demand and monitor metrics to ensure consistent service and access in accordance with University policy. - Partner with faculty, administrators, and staff for patient access planning. - 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. Qualifications - High school or equivalent. - Five (5) years of experience in registration/insurance verification or in a healthcare-related field. Experience in managing staff is 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 procedures. - Computer skills that include MS Office. - Knowledge of EPIC (preferred). - Any relevant education, certifications, and/or work experience may be considered. Requirements - Supervise daily workflows of staff to ensure optimum performance levels. - Monitor daily workflow and communicate to the manager any issues including pending visits due to authorization or denial/re-direction by health plan or PCP offices. - Work with Manager to conduct and review performance appraisals of direct reports, identify performance problems, and initiate disciplinary actions. - Evaluate subordinates' performance by establishing objectives and measurements for supervisors. - Provide constructive performance feedback on a consistent basis. - Investigate inquiries 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 14 days 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 monitor employees’ time, i.e., sick, overtime, vacation. - Stay current on all systems utilized, including telecom systems and various UChart (Epic) modules, and develop and administer training to staff. - Run daily productivity reports to ensure that the team is meeting established standards and goals and perform regular quality assurance reviews to ensure team members are adhering to the policies and procedures. - Effectively and accurately communicate policy changes and all business operation updates to staff on a timely basis. - Conduct department-wide meetings to maintain two-way communication, problem-solving, and relaying information. - Attend meetings, prepare reports and presentations, and gather and analyze data regarding trends and changes, providing recommendations and solutions. - Demonstrate positive Human Relations skills, utilizing effective leadership and effective written and oral communication skills. - Motivate employees through the 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. - Perform other duties as assigned. Benefits - Competitive salaries. - Comprehensive benefits package including medical, dental, tuition remission, and more. Company Description UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by groundbreaking 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. - We have more than one million patient encounters each year. - Our tradition of excellence has earned worldwide recognition for outstanding teaching, research, and patient care.

Role Description The Manager, Contract Administration will be responsible for managing all phases of contract development, including drafting and negotiating a broad range of commercial and privacy contracts for the University of Miami, University of Miami Hospital and Clinics, and Miller School of Medicine as well as providing advice to internal clients across the enterprise with respect to contracting matters of strategic importance to UM. - Draft, analyze and negotiate a broad range of contracts. - Conduct in-depth analysis of contract requirements, special provisions, and terms and conditions to ensure compliance with appropriate laws, regulations, and enterprise-wide policies; work with stakeholders to develop a thorough understanding of the business case and financial implications. - Identify and analyze complex legal, regulatory, and business issues, and provide appropriate advice. - Advise internal clients across the enterprise in a clear and concise manner that effectively conveys contractual risk assessment. - Engage internal clients and external parties to negotiate contract terms that are favorable to UM. - Ensure contracts comply with state, federal, and (where applicable) international laws and regulations, as well as with UM’s policies and procedures. - Cultivate and maintain strong, trusted relationships with other operational units throughout the enterprise. - Work with a significant degree of independence and minimal supervision on day-to-day contracting matters. - Ensure approval and execution of contracts in accordance with UM policies and contracting procedures. - Keep abreast of new legal and regulatory developments that affect or may affect UM, including new data privacy regulations. - Develop, maintain, and revise contract templates and contracting guidelines to ensure uniform general contract terms and conditions are used. - Review, update and maintain contract documentation in accordance with UM policies. - Conduct training sessions for Supply Chain and Procurement teams staff to ensure work product across teams complies with UM’s contracting policies and procedures. - Apply creativity in resolving contract issues in a timely manner. - Analyze and suggest improvements in business processes. - Additional duties as assigned. Qualifications - J.D. from an ABA-accredited law school - 2+ years of relevant work experience - Keen attention to detail and strong analytical and reasoning skills - Superior communication skills, including excellent professional written and verbal English skills and ability to interface effectively with key stakeholders, including executives, physicians and others - Ability to multi-task and work effectively and efficiently to meet deadlines on a time-sensitive basis - Ability to independently prioritize and accomplish both day-to-day work and longer-term goals - Has a positive, problem-solving attitude and flexibility - Discreet and able to maintain strict confidence concerning sensitive matters and transactions - Able to work independently with minimal direction; willing to take instruction when given - Ability to work in a close-knit team environment - Excellent working knowledge of Microsoft Office (including Word and Outlook) and Adobe Acrobat - Transactional experience preferred - Experience in higher ed and/or healthcare preferred - Experience with data privacy regulations preferred - Experience working with a contract lifecycle management system preferred Company Description The University of Miami is recognized as one of the nation’s premier research institutions and academic health systems and is among the largest employers in South Florida. With more than 20,000 faculty and staff, the University is committed to excellence and guided by a mission to positively impact the lives of students, patients, and communities locally and globally. We are dedicated to fostering a culture where every individual feels valued and empowered to contribute meaningfully. United by shared values, the University community works together to build an environment defined by purpose, collaboration, and service. 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 time - Employee Type: Staff

Role Description This position functions as the Supervisor for the Case Management Department under the direction of the Director of Case Management, with supervision by the Case Manager Manager. Responsibilities include: - Analyzing and distributing daily assignments. - Oversight of staff and ensuring compliance with case manager and/or utilization review initiatives. - Providing input and completing annual evaluations. - Assisting Care Coordination staff with family/physician issues. - Functioning as a Case Manager and/or Utilization Review Nurse as needed. - Managing observation patient processes and overseeing medical necessity reviews. - Facilitating decision-making for evaluation programs and interdisciplinary treatment plans. Qualifications - Bachelor’s degree in relevant field required. - Valid State of Florida RN license required. - Minimum 2 years of relevant experience required. Requirements - Reviews hospital EMR census and forwards daily assignments to staff. - Assures compliance of admission reviews utilizing InterQual® criteria. - Conducts audits to ensure admission appropriateness and clinical necessity. - Collaborates with attending physicians and other healthcare professionals on difficult cases. - Participates in the development, implementation, and evaluation of the continuum of care. - Notifies Manager and/or Director of Case Management of potential and/or actual denials. - Assists with discharge planning and coordination with appropriate departments. - Serves as an educational resource to Medical and Facility Staff. - Complies with all policies & procedures pertaining to HIPAA. - Works closely with the entire Case Management Department. Benefits - Competitive salaries. - Comprehensive benefits package including medical, dental, and tuition remission.

Role Description The University of Miami/UHealth has an exciting opportunity for a Full-time, Remote, Patient Scheduler 2. The Patient Scheduler 2 delivers exceptional customer service by communicating with patients over the phone to provide necessary information and is responsible for requesting information related to coordination and scheduling of diagnostic therapy and other procedures/treatments for UHealth. The incumbent interacts directly with referring physicians, radiologists, technologists, as well as patients to guarantee smooth coordination of procedures and exams. - Schedules all types of complex treatments with attention to detail. - Delivers exceptional customer service by answering incoming phone calls or contacting patients by phone to determine proper treatment times. - Obtains and verifies necessary demographic and insurance information. - Screens and verifies information to ensure accuracy when scheduling all CTU appointments. - Ability to manage high call volumes to ensure best possible customer service by properly educating the patient on CTU appointments preparation and answering questions. - Utilizes multiple computer applications, scheduling software, and network drives to schedule multiple treatments within multiple modalities and entities across all CTU UHealth locations. - Uses complex medical terminology and precise scheduling protocols to ensure compliance, such as reviewing and comparing patient’s previous imaging report to current order. - Coordinates processes and timing as required by the physician and facility for special procedures or treatments. - Notifies appropriate parties if patient requires labs or premedication for allergies, oral sedation medication, and obtains necessary implant information. - Adheres to University and unit-level policies and procedures and safeguards University assets. Qualifications - High School diploma or equivalent - Minimum 2 years of relevant experience Benefits - Competitive salaries - Comprehensive benefits package including medical, dental, tuition remission, and more Company Description UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the groundbreaking 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.

Role Description The University of Miami/UHealth Department of Neurological Surgery is currently seeking a part time, remote Sr. Patient Accounts Representative. The Senior Patient Accounts Representative ensures that patient demographic information is accurate and that funding source is billed and collected appropriately. The Senior Patient Accounts Representative uses advanced knowledge of billing procedures and coding expertise to assist management in the training of staff and in assuring compliance with protocols and regulations. - Submits claims to insurance companies and follows up on outstanding claims. - Processes, remits, and posts payments to patients’ accounts. - Reconciles monthly charges, identifies any errors, and researches coverage policies. - Assists patients with insurance and billing questions. - Sets up budget plans on outstanding accounts, mails copies of budget agreements to patients, monitors compliance, and follows up on any payment delinquencies. - Receives and reviews patient, insurance, and attorney correspondence, researches issues, and provides written responses. - Enters all returned mail and stale checks in the database and researches to acquire updated address information to reprocess items. - Recommends policy and procedural changes to management for review as needed. - 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. Qualifications - High School Diploma or equivalent/relevant experience, certification or license. - Minimum 3 years of relevant experience required. Requirements - Learning Agility: Ability to learn new procedures, technologies, and protocols, and adapt to changing priorities and work demands. - Teamwork: Ability to work collaboratively with others and contribute to a team environment. - Technical Proficiency: Skilled in using office software, technology, and relevant computer applications. - Communication: Strong and clear written and verbal communication skills for interacting with colleagues and stakeholders. Benefits - Competitive salaries. - Comprehensive benefits package including medical, dental, tuition remission and more. Company Description UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the groundbreaking 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: Part time Employee Type: Temporary

• Analyzes regulatory requirements, identifies potential conflicts, and demonstrates thorough knowledge of federal regulations and University policies. • Oversees accurate and timely processing, tracking, and filing of federally mandated submissions. • Assists with the drafting, preparation, and presentation of programs to investigators and their research staff to raise awareness of research compliance. • Provides support to investigators by reviewing submissions for content. • Maintains accurate databases and generates letters. • Develops and maintains templates, creates files, and mails notices. • Adheres to University and unit-level policies and procedures and safeguards University assets.

• Creates and presents reports and tools to department staff and leadership and ensures that information provided is understood and used appropriately. • Analyzes clinical performance in order to facilitate patient access to care. • Monitors utilization and demand metric and makes recommendations. • Documents business process improvements. • Monitors overbooking and under-booking of provider schedules. • Provides support to departments performing quality assurance checks on assigned schedules. • Supports the labor negotiation process by collecting information from HR systems and other sources, as appropriate. • Coordinates and oversees team initiatives and projects. • Provides coaching and training to less experienced analysts, as needed. • Adheres to University and unit-level policies and procedures and safeguards University assets.

Role Description - Leads execution of HR technology initiatives, aligning system enhancements and projects to enterprise priorities and operational needs. - Responsible for the design and delivery of HR technology solutions, ensuring alignment with business requirements, operational efficiency, and best practices. - Executes within established HR technology governance frameworks, supporting intake, prioritization, and release processes to ensure system stability and scalability. - Oversees HR system operations, ensuring performance, reliability, and issue resolution meet defined service levels and user expectations. - Leads and develops HR technology team members, including functional analysts and product-focused roles. - Partners cross-functionally with HR Centers of Excellence, IT, Finance, and academic units to design and deliver integrated solutions. - Manages HR technology initiatives and projects, including system enhancements, automation efforts, and reporting solutions. - Supports vendor solution delivery and optimization. - Ensures adherence to internal controls and compliance practices. - Establishes and continuously assesses the effectiveness of the internal controls within the unit and compliance with University policies and procedures. Ensures employees are trained on controls within the function and on University policy and procedures. Qualifications - Education: Bachelor’s degree in relevant field required. - Experience: Minimum 5 years of relevant experience required. - Knowledge, Skills and Abilities: - Strategic Alignment: Skilled in aligning departmental goals with enterprise-wide strategy and develops comprehensive strategic plans. - Financial Management: Ensures fiscal responsibility, and optimization of financial performance. - Resource Management: Ability to allocate resources and drive innovation and growth. - Adaptability: Proven ability to adjust to changes and leads/inspires transformational change. - Team Leadership: Ability to build and lead high-performing teams, manage complex projects, and ensure successful project delivery. - Technology & Analytics: Understanding of technology, data analytics, and performance measurement to drive strategic decisions and identify opportunities. - Communication: Ability to influence others, articulate strategic vision, and ensure clear and persuasive communication. Company Description The University of Miami is recognized as one of the nation’s premier research institutions and academic health systems and is among the largest employers in South Florida. With more than 20,000 faculty and staff, the University is committed to excellence and guided by a mission to positively impact the lives of students, patients, and communities locally and globally. We are dedicated to fostering a culture where every individual feels valued and empowered to contribute meaningfully. United by shared values, the University community works together to build an environment defined by purpose, collaboration, and service. The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.

Role Description The University of Miami, Bascom Palmer Eye Institute, has an exciting opportunity for a Clinical Research Coordinator 1 with Bascom Palmer Eye Institute in Miami, Florida. The Clinical Research Coordinator 1 serves as an entry-level clinical research professional that has a basic foundation in clinical research through assigned responsibilities in data management or implementing clinical research protocols. This role exhibits increased learned skills and flexibility in performing duties and assumes responsibility for simple clinical research protocols and timelines. - Performs chart review/pre-screening activities for study participant eligibility and coordination of simple clinical research protocols. Maintains enrollment procedures according to the protocol. - Coordinates routine activities of clinical studies including data collection and maintenance, planning study timelines, schedules appointments and study visits, meeting scheduling, and project evaluation. - Performs moderate to complex research tests/experiments and adapts procedures for quality improvement under supervision. - Understands and follows technical instructions for operating clinical research equipment, problem solves when operational failures occur. - Assists in observing and informing the PI/supervisor of adverse events, including those reported by study participants. - Addresses adverse events per protocol, advocating for study participants and quality standards throughout the lifespan of the study. - Identifies, reports, and helps problem solve protocol deviations and unanticipated occurrences. - Follows the appropriate fundamental requirements of all international, national, and local regulatory bodies. - Knows the contents and maintenance of study-specific clinical research regulatory binders. - Maintains requisite skills and mandatory training in safety, equality, responsible conduct of research, continuing education, and research competencies. - Adheres to University and unit-level policies and procedures and safeguards University assets. Qualifications - Bachelor’s degree in relevant field or equivalent - Minimum 1 year of relevant experience - Skill in completing assignments accurately and with attention to detail. - Ability to analyze, organize and prioritize work under pressure while meeting deadlines. - Ability to process and handle confidential information with discretion. - Ability to work evenings, nights, and weekends as necessary. - Commitment to the University’s core values. - Ability to work independently and/or in a collaborative environment. Requirements - Flexibility to travel to all BPEI sites as needed. - Establishes patient/participant screening procedures with Principal Investigator and obtains relevant medical information from patient clinic charts/medical records. - Ability to handle multiple clinical trials with several principal investigators. - Serve as back up coordinator to other clinical trials. - Completes corrections/queries required at audits/monitor visits and takes action to correct deviations as needed. - Establishes/maintains contact with patient/participants, health care providers, community agencies and study sponsors. - Updates appropriate agencies (such as sponsors, IRB, etc) regarding current status of research project. - Provides in-service education to staff and patients/participants about research protocols. - Prepares and submits annual reviews to the Institutional Review Board (IRB). - Maintains consent forms and sponsor correspondences. - Notifies IRB of protocol amendments, safety reports and serious adverse events, etc. in compliance with applicable regulations. - Implements research protocol and monitors participant adherence to protocol. Benefits - Competitive salaries - Comprehensive benefits package including medical, dental, tuition remission and more.

Title: Contact Center Associate 2 (H) Location: Medley United States time type Full time Remote job requisition id R100096795 Job Description: 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, please review this tip sheet. The University of Miami/UHealth Department of UHealth Connect has an exciting opportunity for a Full Time Contact Center Associate 2 to work remotely. Core Job Summary The Contact Center Associate 2 supports functions that assist in creating and driving a culture of empathy, service excellence and delivery of patient centered care that impacts the patient experience across the UHealth System. The incumbent is possesses a high-level of proficiency with consistent levels of quality and productivity. In addition, the incumbent serves as a subject matter expert in their assigned areas of support, providing guidance to their peers and assisting in on the job training for new hires. This position involves the delivery of courteous and efficient service to patients, accurate documentation and verification of patient registration information, and professional and timely communications with physicians, medical staff, and administrators. This position requires the ability to utilize the EPIC scheduling system to search for appointments across multiple physicians, resources, specialties and sites while utilizing expertise in medical triage and understanding of government and commercial insurance requirements to ensure patients are scheduled with the appropriate provider timely. Core Responsibilities - Delivers a high level of patient service, with consistent levels of quality and productivity. - Assists in identifying trouble spots and problem patterns in the provision of care. - Acts as a subject matter expert in support of their peers. - Trains new agents in scheduling and registration requirements specific to their specialties. - Schedules and registers patients for appointments within the UHealth System and provides general information about the UHealth System services to patients and community health care providers. - Provides support to UHealth System departments and clinics for information inquiries and problem resolution. - Maintains direct communication with providers and staff in the Medical Center and Satellite Offices. Department Specific Functions - Provide general information about University of Miami Health System services to patients and community health care providers. - Schedule and accurately complete full registration for patients requesting appointments with the UHealth system adhering to policies and procedures regarding appointment scheduling and registration processes, performing these tasks accurately with attention to detail to ensure the highest quality standards. - Initiate pre-registration process and coordinate with the Central Insurance Verification and Patient Access teams to assure pre-registration in the appropriate facility prior to the appointment. Ensure all demographic insurance information is accurate, complete and up to date on patient's screen. - Verification of insurance information, verification of benefits and insurance referral information. - Verification of private patient insurance information for same day appointments or by request. - Adhere to standards provided by the HIPPA Privacy Office related to patient privacy and confidentiality. - Assure ease of patient flow through medical care process. - Complies with the written guidelines provided by the HIPPA Privacy Office related to patient privacy and confidentiality. - Provide patients with all required information regarding appointments and payment policies (e.g. medical records, parking, cash policies, anticipated charges, required ancillary services, cancellation policy). - Intervene as liaison/advocate for patients, physicians, and staff in facilitating ease of care. Assist in identifying trouble spots and problem patterns in the provision of care. - Maintain a working knowledge of medical symptoms, signs, and anatomical systems to identify and differentiate type and urgency of medical need. - Maintain knowledge of insurance referral requirements to ensure access based on third party reimbursement criteria. - Notify appropriate parties of the appointment time, referral criteria, insurance verification, and prior authorization requirements. - Performs all above-mentioned tasks by paying attention to detail and providing excellent customer service skills with Patients, Physicians and other related members by following the Standard of Excellence and Accountability policy mandated by the University Of Miami Miller School Of Medicine. 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 General knowledge of office procedures and operations Ability to communicate effectively in both oral and written form. Ability to handle difficult and stressful situations with professional composure. Ability to maintain effective interpersonal relationships. Ability to recognize, analyze, and solve a variety of problems. Ability to lead, motivate, develop and train others. Ability to process and handle confidential information with discretion. Skill in completing assignments accurately and with attention to detail. Any relevant education, certifications and/or work experience may be considered. #LI-EL1 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 time Employee Type: Staff