What are the responsibilities and job description for the Insurance Verification Representative (H) position at University of Miami Miller School of Medicine?
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 using the Career worklet, please review this tip sheet.
The University of Miami Health System, "UHealth", Department of Pediatrics-Early Steps has an exciting opportunity for a Full-Time Insurance Verification Representative to work in Miami.
The Insurance Verification Representative ensures that proper insurance authorizations are processed prior to patients' appointments to ensure a smooth and efficient visit for the patients.
Core Responsibilities
Core Qualifications
LI-AS1
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 - 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 for additional information.
Job Status
Full time
Employee Type
Staff
Pay Grade
H3
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 using the Career worklet, please review this tip sheet.
The University of Miami Health System, "UHealth", Department of Pediatrics-Early Steps has an exciting opportunity for a Full-Time Insurance Verification Representative to work in Miami.
The Insurance Verification Representative ensures that proper insurance authorizations are processed prior to patients' appointments to ensure a smooth and efficient visit for the patients.
Core Responsibilities
- Calls insurance companies and patients to verify insurance information.
- Obtains authorization for HMO patients.
- Verifies claims are mailed to the proper address.
- Contacts physicians, insurance companies, and/or necessary department(s) to obtain authorizations or referrals.
- Contacts patient to obtain additional information when necessary.
- Responds to customer inquiries regarding insurance coverage for services and processing of claims.
- Adheres to University and unit-level policies and procedures and safeguards University assets.
- Communicates with various insurance companies to verify benefits.
- Reviews and follows up on denials /Explanation of Benefits (EOBs) received.
- Reviews patient charts including demographic, patient/guarantor information, procedures/charges and diagnosis codes to verify and extract payment info.
- Obtains Medicaid/ HMO/MediPass authorizations and referrals information when necessary.
- Posts Medicaid and other 3rd party payments in the CMS Database system as needed
- Inputs Direct Services payments into the State database for Children's Medical Services (CMS) as needed.
- Communicates identified problems to Supervisor / Fiscal Manager and makes recommendations as appropriate.
- Performs other job-related duties within job scope as requested by Fiscal Manager.
Core Qualifications
- High School diploma or equivalent
- Minimum 1 year of relevant work experience
- Ability to maintain effective interpersonal relationships.
- Skill in completing assignments accurately and with attention to detail.
- Ability to process and handle confidential information with discretion.
- Ability to work independently and/or in a collaborative environment.
- Proficiency in computer software (i.e. Microsoft Office).
- Ability to communicate effectively in both oral and written form.
- Knowledgeable about different insurance companies and how to read an Explanation of Benefits (EOBs Skill in collecting, organizing and analyzing data Skill in data entry with minimal errors.
- Ability to work independently and/or in a collaborative environment.
- Commitment to the University's core values.
LI-AS1
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 - 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 for additional information.
Job Status
Full time
Employee Type
Staff
Pay Grade
H3
