About The Position

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. This role serves as a lead Insurance Verification Representative and assists in training new staff. The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

Requirements

  • Minimum 3 years of relevant experience required
  • High School Diploma or equivalent/relevant experience, certification or license
  • 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.

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.

Benefits

  • medical
  • dental
  • tuition remission
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