Sr. Insurance Verification Representative (H) Part Time Bascom Palmer Eye Institute Palm Beach Gardens, FL

University of Miami; Florida; Presencial; USD 45.000 - 65.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical benefits

Tuition remission

Dental benefits

Descripción de la vacante

The University of Miami, Bascom Palmer Eye Institute, seeks a Sr. Insurance Verification Representative for a full-time role in Palm Beach Gardens, Florida.

The incumbent will verify eligibility and authorizations across contracted and non-contracted carriers and facilitate reimbursement processes for services rendered. Core duties include verifying patient insurance at scheduling, updating financial classifications, obtaining authorizations, and training new staff as needed.

Formación

• Education: High School Diploma or equivalent/relevant experience, certification or license.
• Experience: Minimum 3 years of relevant experience required.
• Strong communication, teamwork and adaptibility in a healthcare setting.

Responsabilidades

• Verifies insurance information with patients for appointments and contacts payer to verify eligibility and authorization requirements.
• Adds or updates financial status classifications in appropriate systems.
• Contacts caregivers and patients for HMOs to obtain authorizations and referrals.
• Generates and links referrals to visits once authorization is obtained; responds to inquiries about coverage and claims.
• Links alternate insurance payers to programs during registration and identifies non-contracted payers.

Conocimientos

Learning Agility

Teamwork

Technical Proficiency

Communication

Educación

High School Diploma or equivalent

Descripción del empleo

The University of Miami, Bascom Palmer Eye Institute, has an exciting full time opportunity for a Sr. Insurance Verification Representative in Palm Beach Gardens, Florida.

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. 5. 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

Education: High School Diploma or equivalent/relevant experience, certification or license

Experience: Minimum 3 years of relevant experience required

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.

This is a core job profile description and is not reflective of all duties that may be assigned to a specific position in each individual department. The above statements are intended to describe the general nature and primary responsibilities of this core job profile. Specific duties and tasks may vary based upon departmental needs. Other duties may be assigned to the above consistent with the knowledge, skills, and abilities required for the job.

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

Part time

Employee Type

Staff