Sr. Insurance Verification Representative

University of Miami; Miami (FL); On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Tuition remission

Job summary

The University of Miami, via UHealth, is seeking a Sr. Insurance Verification Representative in Miami, FL to verify eligibility and authorizations and facilitate reimbursement for services.

Responsibilities include confirming insurance details with patients, updating systems, obtaining referrals, responding to coverage inquiries, and mentoring new staff in a fast-paced department.

Qualifications

• High School Diploma or equivalent, relevant experience or license.
• Minimum 3 years of relevant experience required.
• Refer to department description for applicable certification requirements.
• Ability to learn new procedures, technologies, and protocols.
• Ability to work collaboratively with others in a team environment.
• Proficient with office software and computer systems.
• Strong written and verbal communication skills.

Responsibilities

• Verifies insurance eligibility and payer requirements for scheduled appointments.
• Adds or updates financial status classifications in systems.
• Contacts caregivers and patients for HMO authorizations and referrals.
• Generates and links referrals to visits once authorization is obtained.
• Responds to inquiries about insurance coverage and claims processing.
• Links alternate payers to appropriate programs during registration.
• Identifies non-contracted payers and refers to the appropriate dept.
• Leads Insurance Verification responsibilities and assists training new staff.

Skills

Learning Agility

Teamwork

Technical Proficiency

Communication

Education

High School Diploma or equivalent

Certification or license

Job description

The University of Miami/UHealth Department of Finance has an exciting opportunity for a full-time Sr. Insurance Verification Represen to work in Miami, FL.

Verifies insurance eligibility and authorization for all contracted and non-contracted insurance carriers and takes appropriate steps to facilitate reimbursement to department for services rendered.

CORE JOB FUNCTIONS

• 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.

CORE 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.

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine.

As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.

Job Status: Full time

Employee Type: Staff