Sr. Insurance Verification Representative (H)

University of Miami; Florida; On-site; USD 25,000 - 33,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Tuition remission

Job summary

University of Miami Health System is seeking an Insurance Verification Representative to verify coverage with patients, contact payers to confirm eligibility, and generate referrals once authorization is obtained.

This full-time role requires a high school diploma or equivalent and at least 3 years of relevant experience; strong written and verbal communication, teamwork, and proficiency with office software are essential.

Qualifications

• Education: High School Diploma or equivalent/relevant experience.
• Experience: Minimum 3 years of relevant experience required.
• Certification and Licensing: Refer to department description for applicable certification requirements.
• Knowledge, Skills and Abilities: Learning agility, teamwork, technical proficiency, and communication skills.

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.
• Links 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.

Skills

Learning agility

Teamwork

Technical proficiency

Communication

Education

High School Diploma or equivalent

Job description

CORE JOB FUNCTIONS

• 1. Verifies insurance information with patients for scheduled appointments and contacts payer to verify eligibility and authorization requirements.
• 2. Adds or updates financial status classifications in appropriate systems.
• 3. Contacts caregivers and patients for HMO payers to obtain authorizations and referrals.
• 4. Generates and links referrals to appropriate visit once authorization is obtained.
• 5. Responds to customer inquiries regarding insurance coverage of services and processing of claims.
• 6. Follows appropriate procedures to link alternative insurance plan payers to the appropriate programs during registration.
• 7. Identifies non-contracted HMO payers and refers to proper managing department.
• 8. Serves as a lead Insurance Verification Representative and assists in training new staff.
• 9. 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

• Education: High School Diploma or equivalent/relevant experience, certification or license
• Experience: Minimum 3 years of relevant experience required
• Certification and Licensing: Refer to department description for applicable certification requirements
• Knowledge, Skills and Abilities:
  • 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.

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.

Job Status: Full time Employee Type: Staff

The mission of the University of Miami is to transform lives through education, research, innovation, and service. A vibrant and diverse academic and healthcare community, the University of Miami and the University of Miami Health System ("UHealth") have rapidly progressed to become one of the nation’s top research universities and academic medical centers in the nation. The University comprises 12 schools and colleges serving undergraduate and graduate students in more than 350 majors and programs. Visit welcome.miami.edu/about-um to learn more about our points of pride.

The University ranks No. 55 on U.S. News & World Report’s 2022 Best Colleges list and ranked No. 49 in the 2022 Wall Street Journal/Times Higher Education College Rankings. Bascom Palmer Eye Institute is ranked the #1 eye hospital in the USA and offers some of the nation's premiere eye doctors to treat every eye condition for adults. Sylvester Comprehensive Cancer, part of the Miller School of Medicine, received the prestigious National Cancer Institute designation in 2019. The University of Miami and UHealth have also ranked among the Forbes Best Employers and Best Employers for Women on several occasions, most recently in 2022. With more than 17,000 faculty and staff, the University strives for excellence, and is driven by a powerful mission to transform and impact the lives of its students, patients, members of the community, and people across the globe.

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

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