Sr. Insurance Verification Representative (H) - UHealth SoLé Mia | Internal Medicine

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The University of Miami UHealth/SoLé Mia opening September 2025, will bring high-quality academic medicine to North Miami, Aventura, and surrounding communities.

Our expert team of physicians and staff will represent a wide range of specialties, including NCI–designated Sylvester Comprehensive Cancer Center and Bascom Palmer Eye Institute, the number-one eye hospital in the nation. UHealth at SoLé Mia will also deliver the latest in urologic treatments from the renowned Desai Sethi Urology Institute as well as top-notch care from UHealth’s nationally ranked neurology and neurosurgery programs.

UHealth/SoLé Mia has an exciting opportunity for a full-time Sr. Insurance Verification Representative (H) with a target hire in 6/30/2025.   Be part of the UHealth Difference!

CORE JOB FUNCTIONS

• Verifies insurance information with patients for scheduled appointments and contacts payer to verify eligibility and authorization requirements.

• Adds or updates financial status classifications in appropriate systems.

• Contacts caregivers and patients for HMO payers to obtain authorizations and referrals.

• Generates and links referrals to appropriate visit once authorization is obtained.

• Responds to customer inquiries regarding insurance coverage of services and processing of claims.

• Follows appropriate procedures to link alternative insurance plan payers to the appropriate programs during registration.

• Identifies non-contracted HMO payers and refers to proper managing department.

• Serves as a lead Insurance Verification Representative and assists in training new staff.

• Adheres to University and unit-level policies and procedures and safeguards University assets.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS

• High School diploma or equivalent required

• Minimum 3 years of relevant experience required

This is a core job profile description and is not reflective of all duties that may be assigned to a specific position in each individual department. The above statements are intended to describe the general nature and primary responsibilities of this core job profile. Specific duties and tasks may vary based upon departmental needs. Other duties may be assigned to the above consistent with the knowledge, skills, and abilities required for the job.

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The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami 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 academic 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 million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

The University of Miami 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:

H4