Supervisor, Medical Posting (H)

University of Miami; Medley (FL); On-site; USD 70,000 - 90,000; Full time

Job summary

The University of Miami is seeking a Supervisor, Medical Posting to oversee insurance billing and financial clearance for scheduled patients, and to manage daily operations within the division.

This role provides guidance to staff, ensures policy compliance, and collaborates with external carriers and internal departments to support efficient patient financial services.

Qualifications

• Bachelor’s degree in relevant field.

Responsibilities

• Ensures that all payments, adjustments, and denials are posted accurately and in a timely fashion.
• Reviews insurance coverage information and obtains financial clearance from insurance companies.
• Informs the patient or his/her representative of financial requirements according to established guidelines for the insurance plans and notifies attending providers of policy guidelines for the patient's diagnosis.
• Handles and resolves financial issues or questions face-to-face, by telephone, email or fax.
• Helps patients with financial difficulties and assists them in locating financial assistance.
• Oversees, trains, and guides staff to promptly provide patients with financial clearance.
• Collaborates with third-party carriers, governmental agencies, and other University of Miami departments.
• Provides policy and procedural guidelines to providers to ensure services are under the requirements of medical necessity.
• Maintains records of customer interactions and transactions, including details of inquiries, complaints, comments, and actions taken.
• Establishes and continuously assesses the effectiveness of the internal controls within the unit and compliance with University policies and procedures.

Job description

Current Employees:

If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet.

Current Employees:

If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet.

CORE JOB SUMMARY:

The Supervisor, Medical Posting coordinates the insurance and financial activities associated with the provision of services to scheduled patients. Moreover, an employee in this position oversees the daily operations of the assigned division and acts as a source of knowledge for all co-workers.

CORE JOB FUNCTIONS:

• Ensures that all payments, adjustments, and denials are posted accurately and in a timely fashion.
• Reviews insurance coverage information and obtains financial clearance from insurance companies.
• Informs the patient or his/her representative of financial requirements according to established guidelines for the insurance plans and notifies attending providers of policy guidelines for the patient's diagnosis.
• Handles and resolves financial issues or questions face-to-face, by telephone, email or fax.
• Helps patients with financial difficulties and assists them in locating financial assistance.
• Oversees, trains, and guides staff to promptly provide patients with financial clearance.
• Collaborates with third-party carriers, governmental agencies, and other University of Miami departments.
• Provides policy and procedural guidelines to providers to ensure services are under the requirements of medical necessity.
• Maintains records of customer interactions and transactions, including details of inquiries, complaints, comments, and actions taken.
• Establishes and continuously assesses the effectiveness of the internal controls within the unit and compliance with University policies and procedures.

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

Bachelor’s degree in relevant field required

Minimum 5 Years Of Relevant Experience Required

Knowledge, Skills and Abilities:

• Performance Management: Ability to set performance goals, provide feedback, conduct evaluations, and effectively delegate tasks.
• Training & Development: Providing employee training and motivation to enhance skills.
• Team Leadership: Ability to create and maintain a cohesive and productive team environment, build positive working relationships and work collaboratively with others.
• Technical Proficiency: Skilled in using office software, technology, and relevant computer applications.
• Communication: Strong verbal and written communication skills to convey ideas clearly and persuasively.

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.

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:

Full time

Employee Type:

Staff