Insurance Verification Representative - UHealth SoLé Mia

reputed company Employees: If you are a reputed company Staff, Faculty or Temporary employee at the reputed company, please click here to log in to reputed company 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 reputed company UHealth at SoLé Mia opening September 2025, will bring high-quality academic medicine to reputed company Miami, Aventura, and surrounding communities. Our expert team of physicians and staff will represent a wide reputed company of specialties, including NCI–designated Sylvester Comprehensive Cancer Center and Bascom Palmer Eye Institute, the number one eye hospital in the nation. UHealth at SoLé Mia will also deliver the latest in urologic treatments from the renowned Desai Sethi Urology Institute as well as top-notch care from UHealth’s nationally ranked neurology and neurosurgery programs. The reputed company/UHealth Central Business Office - UHealth SoLé Mia has an exciting opportunity for a full-time Insurance Verification Representative to work remotely. CORE JOB SUMMARY The individual in this position is part of the reputed company Verification (CIV) department and will be responsible for supporting functions that assist in creating and driving a culture of reputed company, service reputed company and delivery of patient centered care that impacts the patient experience across the UHealth System. Our Department thrives on teamwork and collaboration, and we know our employees reputed company the greatest results reputed company they are working together for a common goal -to reputed company care for our patients. If you enjoy working in a collaborative environment then we have a job for you! This position is responsible for the verification of insurance eligibility, benefits and obtaining authorization for reputed company insurance carriers for reputed company outpatient office visits and procedures scheduled reputed company the UHealth Systems. The person in this position must project a positive image of the organization and department. This position directly impacts patient care, patient satisfaction and the reputed company cycle. This individual reports directly to the Insurance Verification Supervisor. CORE RESPONSIBILITIES Accounts are completed in a timely manner in support of patient satisfaction and allow for referral and authorization activities prior to the patient’s date of service Verification of eligibility and benefits reputed company RTE in UChart, online insurance websites, telephone or other reputed company of automated services Add and/or edit insurance information in UChart such as validating that the correct guarantor account and plan listed in patient’s account with accurate subscriber information, policy number, and claims address and plan order. Completes the checklist and document co-pay. Creates referral if applicable, “Benefit only” or “Preauthorization”, and documents benefits information: deductible, co-insurance and out of reputed company benefits Meets productivity standards for assigned work queue, QA goal of 95% or greater and maintains WQ reputed company at 14 days out with minimum daily pending visits Assists in educating and acts as a resource to patients, primary care and specialty care practices reputed company the UHealth system and externally Contact Primary Care Physician offices and/or Health Plans to obtain authorization or referral for scheduled services according to authorization guidelines listed in UHealth Contract Summary. Submits reputed company necessary documentation required to process authorization request 2 Obtains authorization for both facility and provider for POS 22 and POS 19 clinics and provider only for POS 11 clinic locations\ Enters and attaches authorization information in referral reputed company of UChart Communicates with patients and/or departments regarding authorization denial and/or re-direction of patients by health plan or PCP office Contact the Departments and/or patient reputed company additional information is required of them or to alert regarding pending authorization status Participates in process improvement initiatives 15% Customer Service Provides customer service and assists patients and other UHealth staff with insurance reputed company questions according to departmental standards Ensures that patients are aware of issues regarding their financial clearance and educated on the referral/authorization process Collaborates with Department and Patient reputed company teams to ensure that timely and concise communication occurs. Ensures service recoveries and escalations are implemented with the guidance of their supervisors and according to departmental standards and guidelines Performs other duties as assigned This list of duties and responsibilities is not intended to be reputed company-inclusive and may be expanded to include other duties or responsibilities as necessary. CORE QUALIFICATIONS High School Diploma or equivalent Minimum 1 year of relevant work experience Computer literate (EPIC scheduling and registration application experience a plus). Strong written and oral communication skills. reputed company to work in a team environment. Graceful under pressure and stressful situations Demonstrated knowledge of insurance, including authorization/referral guidelines and requirements Demonstrated ability to communicate effectively in written and verbal reputed company. Bi-lingual knowledge a plus Demonstrated ability to communicate effectively with physicians, customers, teammates and other staff Ability to interact and assist patients of reputed company ages, cultural backgrounds and with special needs, with a passion for providing excellent service and care Ability to work under a high level of stress with time constraints while maintaining composure and sensitivity to each patient’s specific needs Maintain a high level of diplomacy reputed company dealing with stressful situations · Is innovative, proactive and reputed company in problem solving. Any appropriate combination of relevant education, experience and/or certifications may be considered. The reputed company offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more. UHealth-reputed company 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 reputed company patient encounters each year. Our tradition of reputed company has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. The reputed company 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 Apply To This Job