Insurance Verification Representative

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🔒 Insurance

🚫👨‍🎓 No degree required

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OU Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • 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

• 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, quote or collect patient cost share, and provide appointment instructions • Assign insurance plans accurately and perform electronic eligibility confirmation • 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, including the Medicare 72-hour rule • Communicate with physicians and case managers to resolve authorization or referral issues • Document benefit and authorization information in standard EMR screens and notes • Implement system downtime procedures when necessary • Practice and adhere to the organization’s Code of Conduct and Mission and Value Statement • Perform other duties as assigned

🎯 Requirements

• High School Diploma or GED required • 1 or more years of experience in hospital Patient Access required • No license, certification, or registration 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 plans • Dental plans • Comprehensive benefits and compensation package • Reasonable accommodations for qualified individuals with disabilities