|•||Job Seeker Tools|
|•||Your Saved Jobs|
|•||Build Your Professional Profile|
|Sr. Insurance Verification Representative|
Company: University of Miami Health System
Location: Coral Gables, FL
Employment Type: Full Time
Date Posted: 09/20/2021
Expire Date: 11/20/2021
Job Categories: Insurance
Sr. Insurance Verification Representative|
The Senior 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 render
CORE JOB FUNCTIONS
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 refer
s 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 responsi
lities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
High School diploma or equivalent required. Any appropriate combination of relevant education, experience and/or certifications may be considered.
Minimum 3 years of relevant experience required
Knowledge, Skills and Attitudes:
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.