Senior Insurance Verification & Authorization Lead

University of Miami; United States; On-site; USD 65,000 - 75,000; Full time

Job summary

The University of Miami/UHealth Primary Care seeks a Sr. Insurance Verification Specialist in North Miami to verify eligibility and authorizations for diverse payer networks. This full-time role requires strong communication and teamwork to ensure timely reimbursement for services.

Responsibilities include verifying patient information, updating systems, obtaining authorizations, handling referrals, and training junior staff while upholding university policies and patient confidentiality.

Qualifications

• High School diploma or equivalent required.
• Minimum 3 years of relevant experience.
• Learning Agility: ability to learn new procedures, technologies, and protocols.
• Teamwork: ability to work collaboratively with others.
• Technical Proficiency: skilled in using office software and relevant applications.
• Communication: strong written and verbal communication skills.

Responsibilities

• Verifies insurance eligibility and authorization with patients and payers.
• Updates financial status classifications in systems.
• Contacts caregivers and patients for HMO authorizations and referrals.
• Generates and links referrals after authorization.
• Responds to inquiries about coverage and claims processing.
• Links alternate plan payers to programs during registration.
• Identifies non-contracted HMO payers and routes to the proper department.
• Leads Insurance Verification and assists training new staff.
• Adheres to policies and safeguards University assets.

Skills

Learning Agility

Teamwork

Technical Proficiency

Communication

Education

High School diploma or equivalent

Tools

Office software

Job description

The University of Miami/UHealth Primary Care seeks a Sr. Insurance Verification Specialist in North Miami to verify eligibility and authorizations for diverse payer networks. This full-time role requires strong communication and teamwork to ensure timely reimbursement for services.

Responsibilities include verifying patient information, updating systems, obtaining authorizations, handling referrals, and training junior staff while upholding university policies and patient confidentiality.