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The University of Miami UHealth at SoL Mia opening September 2025 will bring highquality academic medicine to North Miami Aventura and surrounding communities. Our expert team of physicians and staff will represent a wide range of specialties including NCIdesignated Sylvester Comprehensive Cancer Center and Bascom Palmer Eye Institute the number one eye hospital in the nation. UHealth at SoL Mia will also deliver the latest in urologic treatments from the renowned Desai Sethi Urology Institute as well as topnotch care from UHealths nationally ranked neurology and neurosurgery programs.
The University of Miami UHealth Patient Access Department at SoL Mia has an exciting opportunity for a Sr. Insurance Verification Representative.
The Sr. Insurance Verification Representative (H) verifies insurance eligibility and authorization for all contracted and noncontracted insurance carriers and takes appropriate steps to facilitate reimbursement to department for services rendered.
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 noncontracted 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 unitlevel policies and procedures and safeguards University assets.
This list of duties and responsibilities is not intended to be allinclusive and may be expanded to include other duties or responsibilities as necessary.
CORE QUALIFICATIONS
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.
The University of Miami offers competitive salaries and a comprehensive benefits package including medical dental tuition remission and more.
UHealthUniversity of Miami Health System South Floridas only universitybased health system provides leadingedge 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 subspecialties 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. Were the challenge youve 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 timeEmployee Type:
StaffPay Grade:
H4Required Experience:
Senior IC
Full-Time