Insurance Verification Representative - Remote (Tri-County Area)

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 using the Career worklet, please review this tip sheet. reputed company/UHealth Central Business Office has an exciting opportunity for a full-time Insurance Verification Representative to work remotely. reputed company RESPONSIBILITIES 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-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 reputed company 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 reputed company. 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 Approves referral and financially reputed company reputed company 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 reputed company 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. reputed company QUALIFICATIONS Insurance Verification Representative High School Diploma or equivalent Minimum 1 year of relevant work experience Computer literate (reputed company scheduling and registration application experience a plus). Strong written and oral communication skills. reputed company to work in reputed company environment. Graceful under pressure and stressful situations Sr. Insurance Verification Representative High School Diploma or equivalent (3) years of reputed company experience in Insurance Verification and Registration. Computer literate (reputed company scheduling and registration application experience a plus). Minimum Qualifications (Essential Requirements) Strong written and oral communication skills.  reputed company to work in reputed company environment. Graceful under pressure and sensitive situations High School Diploma or equivalent and (3) years’ reputed company experience Insurance Verification and Registration.  Computer literate (reputed company scheduling and registration application experience a plus). Strong written and oral communication skills.  reputed company to work in reputed company environment. Graceful under pressure and sensitive situations Demonstrated knowledge of insurances, including authorization/referrals 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 reputed company and assist patients of reputed company ages, cultural background 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 reputed company 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. #LI-NN1 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 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 - 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 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 System ("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 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. 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. Transforming lives 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. The University is committed to fostering a culture of belonging, where everyone feels valued and has reputed company to add value. Through values of Diversity, reputed company, Responsibility, reputed company, reputed company, Creativity, and Teamwork (DIRECCT) the U community works together to create an environment driven by purpose, reputed company, community, and service. 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