Insurance Verification Representative - Primary Care North Miami

University of Miami; Medley (FL); On-site; USD 32,000 - 42,000; Full time

Job summary

University of Miami Health System in North Miami seeks an Insurance Verification Representative to ensure proper insurance authorizations are processed prior to patient appointments, enabling smooth and efficient visits.

The role involves verifying insurance details with carriers and patients, obtaining authorizations, and responding to coverage inquiries. It requires strong communication and office software skills, plus at least 1 year of relevant experience.

Qualifications

• Education: High School Diploma or equivalent/relevant experience, certification or license.
• Experience: Minimum 1 Year Of Relevant Experience Required.

Responsibilities

• Calls insurance companies and patients to verify insurance information.
• Obtains authorization for HMO patients.
• Verifies claims are mailed to the proper address.
• Contacts physicians, insurance companies, and/or necessary department(s) to obtain authorizations or referrals.
• Contacts patient to obtain additional information when necessary.
• Responds to customer inquiries regarding insurance coverage for services and processing of claims.
• Adheres to University and unit-level policies and procedures and safeguards University assets.

Skills

Learning agility

Teamwork

Technical proficiency

Communication

Education

High school diploma

Tools

Office software

Job description

The University of Miami/UHealth Primary Care Office in North Miami has an exciting opportunity for an Insurance Verification Representative. The Insurance Verification RepresentativeI ensures that proper insurance authorizations are processed prior to patients’ appointments to ensure a smooth and efficient visit for the patients.

Core Job Functions:

• Calls insurance companies and patients to verify insurance information.
• Obtains authorization for HMO patients.
• Verifies claims are mailed to the proper address.
• Contacts physicians, insurance companies, and/or necessary department(s) to obtain authorizations or referrals.
• Contacts patient to obtain additional information when necessary.
• Responds to customer inquiries regarding insurance coverage for services and processing of claims.
• 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.

Core Qualifications:

Education:
High School Diploma or equivalent/relevant experience, certification or license

Experience:
Minimum 1 Year Of Relevant Experience Required

• 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.

This is a core job profile description and is not reflective of all duties that may be assigned to a specific position in each individual department. The above statements are intended to describe the general nature and primary responsibilities of this core job profile. Specific duties and tasks may vary based upon departmental needs. Other duties may be assigned to the above consistent with the knowledge, skills, and abilities required for the job.

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