Sr. Medical Posting Representative (H)

University of Miami; United States; On-site; USD 65,000 - 80,000; Full time

Benefits offered by this job

Competitive salary

Comprehensive benefits

Tuition remission

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, researches and troubleshoots rejections, and investigates potential refunds. The role requires strong communication and teamwork within a university healthcare system.

Qualifications

• High school diploma or equivalent; relevant experience or certifications may be considered.
• Ability to learn new procedures, technologies and adapt to changing priorities.

Responsibilities

• Oversees accurate processing and posting of insurance payments and refunds.
• Researches and troubleshoots rejections and investigates potential refunds.
• Assists supervising staff in quality control of data.
• Contacts physician offices when vouchers lack information and educates on claim coding.
• Processes charge document batches and verifies totals on batch ledger.
• Reviews encounter forms and ensures required data elements are present.
• Ensures registrations, authorizations, encounters and co-pays are linked to visits.

Skills

Data quality control

Vouchers processing

Communication skills

Teamwork

Education

High School Diploma or equivalent/relevant experience

Tools

Office software

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 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.