Insurance Verifier
OU Health
full-time
Posted on:
Location Type: Remote
Location: United States
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Job Level
About the role
- 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/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 (e.g., Medicare 72-hour rule).
- Communicate with physicians and case managers to resolve authorization or referral issues.
- Document benefit and authorization information in the standard EMR screens and notes as needed.
- Implement system downtime procedures when necessary.
- Practice and adhere to the organization’s Code of Conduct and Mission and Value Statement.
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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
insurance verificationpre-registrationcost share calculationelectronic eligibility confirmationMedicare Secondary Payor Questionnairepatient visit history researchauthorization documentationsystem downtime proceduresEMR documentation
Soft Skills
verbal communicationwritten communicationcustomer service orientationinterpersonal skillsorganizational skills
Certifications
High School DiplomaGED