Insurance Verification Representative

OU Health

Insurance Verification Representative supporting OU Health’s hospital revenue cycle. Performing patient registration, insurance verification, eligibility checks, and authorization documentation.

Posted 8/12/2026full-timeRemote • 🇺🇸 United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in patient access processes, including insurance verification, benefits documentation, and compliance with payor-specific rules. Proficient in effective communication and customer service to enhance patient interactions and resolve issues.

Highest-signal resume keywords

Patient Access ExperienceInsurance VerificationBenefits DocumentationCustomer Service OrientationVerbal And Written Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Pre-RegistrationInsurance VerificationCost Share CalculationElectronic Eligibility ConfirmationMedicare Secondary Payor Questionnaire

Soft Skills

Customer Service OrientationEffective Communication

Tools & Technologies

EMR

Industry Keywords

Patient AccessComplianceAuthorizationReferral IssuesDemographic Information

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

PTO
401(k)
Medical plans
Dental plans
Comprehensive benefits and compensation package
Reasonable accommodations for qualified individuals with disabilities