Sr. Insurance Verification Representative (H) Palmetto Bay

University of Miami•Miami, FL

21d•Onsite

About The Position

The University of Miami UHealth Department of UHealth Primary Care Enterprise at Palmetto Bay has an exciting opportunity for a Sr. Insurance Verification Representative (H). The incumbent 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.

Requirements

High School diploma or equivalent
Minimum 3 years of relevant experience
Skill in completing assignments accurately and with attention to detail.
Ability to analyze, organize and prioritize work under pressure while meeting deadlines.
Ability to process and handle confidential information with discretion.
Ability to work independently and/or in a collaborative environment.
Ability to communicate effectively in both oral and written form.

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.
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.