Lead Insurance Verification Specialist

University of Miami; Florida; On-site; USD 25,000 - 33,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Tuition remission

Job summary

University of Miami Health System is seeking an Insurance Verification Representative to verify coverage with patients, contact payers to confirm eligibility, and generate referrals once authorization is obtained.

This full-time role requires a high school diploma or equivalent and at least 3 years of relevant experience; strong written and verbal communication, teamwork, and proficiency with office software are essential.

Qualifications

• Education: High School Diploma or equivalent/relevant experience.
• Experience: Minimum 3 years of relevant experience required.
• Certification and Licensing: Refer to department description for applicable certification requirements.
• Knowledge, Skills and Abilities: Learning agility, teamwork, technical proficiency, and communication skills.

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 procedures and safeguards University assets.

Skills

Learning agility

Teamwork

Technical proficiency

Communication

Education

High School Diploma or equivalent

Job description

University of Miami Health System is seeking an Insurance Verification Representative to verify coverage with patients, contact payers to confirm eligibility, and generate referrals once authorization is obtained.

This full-time role requires a high school diploma or equivalent and at least 3 years of relevant experience; strong written and verbal communication, teamwork, and proficiency with office software are essential.