Senior Insurance Verification – Eligibility & Authorization

University of Miami; United States; Remote; USD 42,000 - 66,000; Full time

Job summary

The University of Miami is seeking a Sr. Insurance Verification Representative to join the UHealth Department of Finance in Miami, FL.

This full-time role verifies insurance eligibility and authorization for both contracted and non-contracted carriers and facilitates reimbursement for services rendered. The incumbent will verify patient insurance, obtain authorizations, handle referrals, respond to inquiries, and support the registration process with accurate financial classifications.

Qualifications

• High School Diploma or equivalent or relevant experience with possible certifications.
• Minimum three years of relevant experience.
• Ability to learn procedures, technologies and adapt to changing priorities.
• Strong teamwork and clear written and verbal 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 payers to obtain authorizations and referrals.
• Generates and links referrals to the appropriate visit once authorization is obtained.
• Responds to customer inquiries regarding insurance coverage and claims processing.
• Links alternate plan payers to the correct programs during registration.
• Identifies non-contracted HMO payers and refers to the appropriate department.
• Serves as a lead Insurance Verification Representative and assists in training new staff.
• Adheres to University policies and safeguards assets.

Skills

Learning Agility

Teamwork

Technical Proficiency

Communication

Education

High School Diploma or equivalent/relevant experience

Job description

The University of Miami is seeking a Sr. Insurance Verification Representative to join the UHealth Department of Finance in Miami, FL.

This full-time role verifies insurance eligibility and authorization for both contracted and non-contracted carriers and facilitates reimbursement for services rendered. The incumbent will verify patient insurance, obtain authorizations, handle referrals, respond to inquiries, and support the registration process with accurate financial classifications.