Lead Insurance Verification & Authorization Specialist

University of Miami; Florida; On-site; USD 24,000 - 40,000; Part time

Job summary

The University of Miami in Palm Beach Gardens, FL is seeking a Sr. Insurance Verification Representative for a part-time, staff position.

The role verifies insurance eligibility and authorizations with contracted and non-contracted carriers and facilitates reimbursement. Responsibilities include contacting payers, updating financial classifications, obtaining authorizations, and training new staff as needed.

Qualifications

• Education: High School Diploma or equivalent/relevant experience
• Experience: Minimum 3 years of relevant experience required
• Knowledge, Skills and Abilities: learning agility, teamwork, technical proficiency, communication

Responsibilities

• Verifies insurance information with patients for scheduled appointments and contacts payer to verify eligibility and authorization requirements.
• Adds or updates financial status classifications in appropriate systems.
• Contacts caregivers and patients for HMO payers to obtain authorizations and referrals.
• Generates and links referrals to appropriate visit once authorization is obtained.
• Responds to customer inquiries regarding insurance coverage of services and processing of claims.
• Links alternative insurance plan payers to the appropriate programs during registration.
• Identifies non-contracted HMO payers and refers to proper managing department.
• Serves as a lead Insurance Verification Representative and assists in training new staff.
• Adheres to University and unit-level policies and safeguards University assets.

Skills

Learning Agility

Teamwork

Technical Proficiency

Communication

Education

High School Diploma or equivalent

Job description

The University of Miami in Palm Beach Gardens, FL is seeking a Sr. Insurance Verification Representative for a part-time, staff position.

The role verifies insurance eligibility and authorizations with contracted and non-contracted carriers and facilitates reimbursement. Responsibilities include contacting payers, updating financial classifications, obtaining authorizations, and training new staff as needed.