Insurance Verification Representative - Remote (Tri-County Area)
reputed company Employees:
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The reputed company/UHealth Central Business Office has an exciting opportunity for a full-time Insurance Verification Representative to work remotely.
CORE 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.
CORE 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, includingauthorization/referralsguidelines 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.
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 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.
The 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:
StaffOriginally posted on Himalayas
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