Sr. Insurance Verification Representative

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