Senior Insurance Verification Representative Position Available In Miami-Dade, Florida

Current Employees:

If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here (https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER_eRecruiting_ApplyforaJob.pdf) .

CORE JOB SUMMARY

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.

CORE JOB FUNCTIONS1.

Verifies insurance information with patients for scheduled appointments and contacts payer to verify eligibility and authorization requirements.2. Adds or updates financial status classifications in appropriate systems.3. Contacts caregivers and patients for HMO payers to obtain authorizations and referrals.4. Generates and links referrals to appropriate visit once authorization is obtained.5. Responds to customer inquiries regarding insurance coverage of services and processing of claims.6. Follows appropriate procedures to link alternative insurance plan payers to the appropriate programs during registration.7. Identifies non-contracted HMO payers and refers to proper managing department.8. Serves as a lead Insurance Verification Representative and assists in training new staff.9. 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

Education:

High School diploma or equivalent required

Experience:

Minimum 3 years of relevant experience required

Certification and Licensing:

Refer to department description for applicable certification requirements

Knowledge, Skills and Abilities:

+

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. 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 is an Equal Opportunity Employer – Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here (https://www.hr.miami.edu/careers/eo-ada/index.html) for additional information.

Job Status:

Full time

Employee Type:

Staff Pay Grade:

H4