Sr. Medical Posting Representative (H)

University of Miami; Medley (FL); On-site; USD 52,000 - 76,000; Full time

Job summary

The University of Miami/UHealth Central Business Office has an exciting opportunity for a full-time Sr. Medical Posting Representative (H) to work in Miami, FL.

The Senior Medical Posting Representative oversees the effective and accurate processing and posting of insurance payments and refund requests for the department. They also research and troubleshoots rejections and investigates potential refunds, coordinating with physicians and offices to ensure data quality and proper claim coding.

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 requirementsty.
• 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

• Assists supervising staff in maintaining quality control of all data.
• Identifies potential problems on vouchers and corrects them.
• Contacts physician offices, when vouchers lack sufficient information for payment of a claim, and educates them on proper claim coding.
• Processes all charge document batches and verifies total charges on batch ledger.
• Reviews encounter forms to ensure that required data elements are present.
• Checks patient registrations for financial class, enters appropriate authorizations, and makes sure encounters and co-pays are linked to patient visits.
• Communicates with management, physicians, and other relevant parties regarding code edits.
• 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

Communication skills

Teamwork

Technical proficiency

Adaptability

Education

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

Job description

The University of Miami/UHealth Central Business Offcie has an exciting opportunity for a full-time Sr. Medical Posting Representative (H)to work in Miami, FL. The Senior Medical Posting Representative oversees the effective and accurate processing and posting of insurance payments and refund requests for the department. Additionally, he/she researches and troubleshoots rejections, and investigates potential refunds.

CORE JOB FUNCTIONS

• Assists supervising staff in maintaining quality control of all data.
• Identifies potential problems on vouchers and corrects them.
• Contacts physician offices, when vouchers lack sufficient information for payment of a claim, and educates them on proper claim coding.
• Processes all charge document batches and verifies total charges on batch ledger.
• Reviews encounter forms to ensure that required data elements are present.
• Checks patient registrations for financial class, enters appropriate authorizations, and makes sure encounters and co-pays are linked to patient visits.
• Communicates with management, physicians, and other relevant parties regarding code edits.
• 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 requirementsty:
• 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 timeEmployee Type:Staff