University of Miami
Insurance Verification Representative - Remote (Tri-County Area)
University of Miami, Medley, Florida, United States
Insurance Verification Representative - Remote (Tri-County Area) at University of Miami
Please apply to the role of
Insurance Verification Representative
for a full‑time remote position with the University of Miami’s UHealth Central Business Office.
Job Overview As an Insurance Verification Representative, you will verify patient eligibility, manage referrals and authorizations, maintain accurate insurance data in UChart, and provide customer service to patients, primary care and specialty practices.
Responsibilities
Complete insurance verification and update patient accounts in a timely manner.
Verify eligibility and benefits using RTE, UChart, online insurance sites, telephone or other automated services.
Add/edit insurance information in UChart, ensuring accurate guarantor, subscriber data, policy number and claims address.
Complete co‑pay and fees checklist.
Create referrals (Benefit only or Pre‑authorization) and document benefit information (deductible, co‑insurance, out‑of‑pocket).
Meet productivity standards, maintain QA goal of 95%+, and manage queue with current days out ≤ 14.
Educate patients and practice staff, serving as the resource for insurance questions.
Contact primary care offices and health plans for authorizations or referrals in accordance with UHealth contract guidelines.
Enter and attach authorization information in the referral section of UChart.
Approve referrals and conduct financial clearance of visits.
Communicate with patients or departments regarding authorization denials or re‑direction.
Alert departments or patients when additional information is required.
Participate in process‑improvement initiatives focused on customer service.
Provide outstanding customer service in accordance with departmental standards.
Ensure patients understand their financial status and the referral/authorization process.
Collaborate with Department and Patient Access teams for timely communication.
Implement service recoveries and escalations per supervisor guidance.
Perform other duties as assigned.
Core Qualifications
High School Diploma or equivalent.
Minimum 1 year of relevant work experience.
Computer literate; EPIC scheduling and registration application experience is a plus.
Strong written and oral communication skills.
Team‑oriented and able to work under pressure.
Senior Level Qualifications (Optional)
3 years of direct experience in Insurance Verification and Registration.
Strong written and oral communication skills.
Computer literate; EPIC experience is a plus.
Minimum Qualifications (Essential)
High School Diploma or equivalent and 3 years’ direct experience in Insurance Verification and Registration.
Strong written and oral communication skills.
Computer literate; EPIC experience is a plus.
Demonstrated knowledge of insurance authorizations and referral guidelines.
Effective written and verbal communication; bilingual knowledge is a plus.
Ability to interact with physicians, customers, teammates and other staff.
Ability to assist patients of all ages and backgrounds with a passion for service.
Work under high stress while maintaining composure and sensitivity.
Maintain high diplomacy in stressful situations.
Innovative, proactive and resourceful in problem solving.
Additional Information
Competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.
Equal Opportunity Employer – Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply.
Job Status: Full time.
Employee Type: Staff.
Pay Grade: H3.
Seniority level: Entry level.
Employment type: Full‑time.
Job Function: Sales and Business Development (optional category).
Industries: Higher Education (optional).
Applicants are protected from discrimination based on categories protected by Federal law. Click here for additional information.
#J-18808-Ljbffr
Insurance Verification Representative
for a full‑time remote position with the University of Miami’s UHealth Central Business Office.
Job Overview As an Insurance Verification Representative, you will verify patient eligibility, manage referrals and authorizations, maintain accurate insurance data in UChart, and provide customer service to patients, primary care and specialty practices.
Responsibilities
Complete insurance verification and update patient accounts in a timely manner.
Verify eligibility and benefits using RTE, UChart, online insurance sites, telephone or other automated services.
Add/edit insurance information in UChart, ensuring accurate guarantor, subscriber data, policy number and claims address.
Complete co‑pay and fees checklist.
Create referrals (Benefit only or Pre‑authorization) and document benefit information (deductible, co‑insurance, out‑of‑pocket).
Meet productivity standards, maintain QA goal of 95%+, and manage queue with current days out ≤ 14.
Educate patients and practice staff, serving as the resource for insurance questions.
Contact primary care offices and health plans for authorizations or referrals in accordance with UHealth contract guidelines.
Enter and attach authorization information in the referral section of UChart.
Approve referrals and conduct financial clearance of visits.
Communicate with patients or departments regarding authorization denials or re‑direction.
Alert departments or patients when additional information is required.
Participate in process‑improvement initiatives focused on customer service.
Provide outstanding customer service in accordance with departmental standards.
Ensure patients understand their financial status and the referral/authorization process.
Collaborate with Department and Patient Access teams for timely communication.
Implement service recoveries and escalations per supervisor guidance.
Perform other duties as assigned.
Core Qualifications
High School Diploma or equivalent.
Minimum 1 year of relevant work experience.
Computer literate; EPIC scheduling and registration application experience is a plus.
Strong written and oral communication skills.
Team‑oriented and able to work under pressure.
Senior Level Qualifications (Optional)
3 years of direct experience in Insurance Verification and Registration.
Strong written and oral communication skills.
Computer literate; EPIC experience is a plus.
Minimum Qualifications (Essential)
High School Diploma or equivalent and 3 years’ direct experience in Insurance Verification and Registration.
Strong written and oral communication skills.
Computer literate; EPIC experience is a plus.
Demonstrated knowledge of insurance authorizations and referral guidelines.
Effective written and verbal communication; bilingual knowledge is a plus.
Ability to interact with physicians, customers, teammates and other staff.
Ability to assist patients of all ages and backgrounds with a passion for service.
Work under high stress while maintaining composure and sensitivity.
Maintain high diplomacy in stressful situations.
Innovative, proactive and resourceful in problem solving.
Additional Information
Competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.
Equal Opportunity Employer – Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply.
Job Status: Full time.
Employee Type: Staff.
Pay Grade: H3.
Seniority level: Entry level.
Employment type: Full‑time.
Job Function: Sales and Business Development (optional category).
Industries: Higher Education (optional).
Applicants are protected from discrimination based on categories protected by Federal law. Click here for additional information.
#J-18808-Ljbffr