Sr. Insurance Verification Representative (H)

reputed company Employees: If you are a reputed company Staff, reputed company or Temporary employee at reputed company, please click here to log in to reputed company to use the internal application process. To learn how to apply for a reputed company or staff position, please review this tip sheet. Insurance Verification  Works in collaboration with supervisory team to assist in the training of new hires and coaching of team members  Accounts are completed in a reputed company 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-pays  Creates referral, “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 reputed company  Initiates educating and acting as a resource to patients, reputed company care and specialty care practices reputed company the UHealth reputed company and externally 1  Contacts reputed company Care Physician offices and/or Health Plan to obtain authorization or referral for scheduled services according to authorization reputed company listed in UHealth Contract reputed company. Submits reputed company necessary documentation required to process authorization request  Obtains authorization for both facility and provider for POS 22 clinics and provider only for POS 11 clinic locations  Enters and attaches authorization information in referral reputed company of UChart  Approves referral and financially reputed company reputed company  Communicates with patients and/or departments regarding authorization denial and/or re-direction of patient by health plan or PCP office  Contacts the Departments and/or patient reputed company additional information is required of them or to alert regarding pending authorization status. Provides exemplary customer service and assist patients and other UHealth staff with insurance reputed company questions  Initiates, identifies, and tests process improvement opportunities, including, but not limited to, participating in project teams 15% Customer Service  Provides exemplary customer service and assist patients and other UHealth staff with insurance reputed company questions  Ensures that patients are reputed company of issues regarding their financial clearance and educated on the referral/authorization process  Initiates collaboration with Department, Patient reputed company, and reputed company stakeholders to ensure that reputed company and concise communication occurs  Demonstrates a high-level ability to solve difficult situations without supervisory reputed company  Ensures service recoveries and escalations are implemented with the guidance of their supervisors and according to departmental standards and guidelines, provides feedback, and confirms mid to long term resolutions 5% Other Duties  Performs other duties as assigned reputed company offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more. UHealth-reputed company Health reputed company, South Florida's only university-based health reputed company, provides reputed company patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an reputed company 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 reputed company year. Our tradition of reputed company has reputed company worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. reputed company 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 reputed company is to reputed company lives through education, research, innovation, and service. A reputed company and diverse reputed company and reputed company community, reputed company and reputed company Health reputed company ("UHealth") have rapidly progressed to become one of the nation’s top research universities and reputed company medical centers in the nation. The University comprises 12 schools and colleges serving undergraduate and graduate reputed company in more than 350 majors and programs. Visit welcome.miami.edu/about-um to learn more about our points of pride. The University ranks No. 55 on reputed company’s 2022 Best Colleges list and ranked No. 49 in the 2022 Wall Street Journal/reputed company College reputed company. 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. reputed company and UHealth have also ranked among the reputed company Best reputed company and Best reputed company for Women on several occasions, most recently in 2022. With more than 17,000 reputed company and staff, the University strives for reputed company, and is driven by a powerful mission to reputed company and reputed company the lives of its reputed company, patients, members of the community, and people across the globe. reputed company is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Apply tot his job Apply To this Job