Clinical Business Operations Representative | Palmetto Bay

Position: Clinical Business Operations Representative 3 | Palmetto Bay
Sr. Insurance Verification Representative (H) Palmetto Bay page is loaded## Sr. Insurance Verification Representative (H) Palmetto Bay locations:
Miami, FLtime type:
Full time posted on:
Posted Todayjob requisition :
R
** Current Employees:
** If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click  to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this .The University of Miami UHealth Department of UHealth Primary Care Enterprise at Palmetto Bay has an exciting opportunity for a Sr.

Insurance Verification Representative (H). The incumbent 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 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 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.
*** 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
*
* Experience:

** Minimum 3 years of relevant experience
** 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.

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. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.
** Job Status:
** Full time
** Employee Type:
** Staff The mission of the University of Miami is to transform lives through education, research, innovation, and service. A vibrant and diverse academic and healthcare community, the University of Miami and the University of Miami Health System ("UHealth") have rapidly progressed to become one of the nation’s top research universities and academic medical centers in the nation.

The University comprises 12 schools and colleges serving undergraduate and graduate students in more than 350 majors and programs. Visit  to learn more about our points of pride.

The University ranks No. 55 on U.S. News & World Report’s 2022 Best Colleges list and ranked No. 49 in the 2022 Wall Street Journal/Times Higher Education College Rankings.

Bascom Palmer Eye Institute is ranked the #1 eye hospital in the USA and offers some of the nation's premiere eye doctors to treat every eye condition for adults. Sylvester Comprehensive Cancer, part of the Miller School of Medicine, received the prestigious National Cancer Institute designation in 2019.The University of Miami and UHealth have also ranked among the Forbes Best Employers and Best Employers for Women on several occasions, most recently in 2022.
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