OU Health
10,000+ employees
⚕️ Healthcare Insurance
Healthcare Insurance
OU Health is a comprehensive healthcare provider offering a wide range of medical services including pediatric care, cancer care, diabetes care, emergency care, and specialized services for adults and children. Located in Oklahoma, OU Health operates multiple facilities such as the Oklahoma Children's Hospital and the Stephenson Cancer Center. Known for its advanced scientific research and quality care, the organization prides itself on being recognized for excellence in areas like pediatric cardiology and heart surgery. As part of its commitment to medical excellence, OU Health also focuses on medical education and research, helping to train the next generation of healthcare professionals.
Insurance Verification Representative I
🔥 1 minute ago
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OU Health
10,000+ employees
⚕️ Healthcare Insurance
Healthcare Insurance
OU Health is a comprehensive healthcare provider offering a wide range of medical services including pediatric care, cancer care, diabetes care, emergency care, and specialized services for adults and children. Located in Oklahoma, OU Health operates multiple facilities such as the Oklahoma Children's Hospital and the Stephenson Cancer Center. Known for its advanced scientific research and quality care, the organization prides itself on being recognized for excellence in areas like pediatric cardiology and heart surgery. As part of its commitment to medical excellence, OU Health also focuses on medical education and research, helping to train the next generation of healthcare professionals.
📋 Description
• Responsible for timely and accurate pre-registration, insurance verification, and patient demographic updates • Ensure compliance with payor requirements and support the revenue cycle through effective communication and documentation • Perform pre-registration and insurance verification for inpatient and outpatient services • Follow scripted benefits verification and pre-certification format in the EMR and document results • Contact patients to confirm or obtain missing demographic information and quote/collect patient cost share • Provide appointment instructions and assign insurance plans accurately • Complete Medicare Secondary Payor Questionnaire as applicable • Calculate patient cost share and arrange payment or collection via phone • Research patient visit history to ensure compliance with payor-specific rules • Communicate with physicians and case managers to resolve authorization or referral issues • Document benefit and authorization information in the standard EMR screens and notes • Implement system downtime procedures when necessary
🎯 Requirements
• High School Diploma or GED required • 1 or more years of experience in hospital Patient Access required • Verbal and written communication • Customer service orientation • Basic math and PC proficiency • Ability to work effectively with patients, staff, and external parties
🏖️ Benefits
• PTO • 401(k) • medical and dental plans • comprehensive benefits package
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