InsuranceVerificationRepresentative

**_Current Employees:_** If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click [here](https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this [tip sheet](https://my.it.miami.edu/wda/erpsec/tipsheets/ER_eRecruiting_ApplyforaJob.pdf). The University of Miami/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 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 via RTE in UChart, online insurance websites, telephone or other source 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 pocket benefits * Meets productivity standards for assigned work queue, QA goal of 95% or greater and maintains WQ current 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 within 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 all necessary documentation required to process authorization request 2 * Obtains authorization for both facility and provider for POS 22 and POS 19 clinics and