Senior Insurance Verification Specialist

University of Miami; Avenue (MD); On-site; USD 42,000 - 64,000; 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 involves validating patient insurance details, obtaining authorizations, and assisting with referrals and inquiries.

The position requires at least 3 years of experience, a high school diploma or equivalent, and strong communication and teamwork skills. Training and leadership duties for staff may be involved as part of the role.

Qualifications

• High School Diploma or equivalent/relevant experience, certification or license
• Minimum 3 years of relevant experience required
• Refer to department description for applicable certification requirements
• 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.
• Any appropriate combination of relevant education, experience and/or certifications may be considered.

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.
• Follows appropriate procedures to link 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.
• 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.

Skills

Learning Agility

Teamwork

Technical Proficiency

Communication

Microsoft Office

Education

High School Diploma

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 involves validating patient insurance details, obtaining authorizations, and assisting with referrals and inquiries.

The position requires at least 3 years of experience, a high school diploma or equivalent, and strong communication and teamwork skills. Training and leadership duties for staff may be involved as part of the role.