Insurance Verification Representative ICC

Kids for the Future; Overland Park (KS); On-site; USD 25,000 - 36,000; Full time

Job summary

KU MedWest Ambulatory Surgery Center, LLC is seeking an Insurance Verification Representative in Overland Park, KS. You will verify patient insurance coverage, benefits, and eligibility prior to scheduled procedures and communicate estimated out-of-pocket costs to patients.

This role requires attention to detail, accountability, teamwork, and professional behavior to support high-quality patient care and a smooth revenue cycle.

Qualifications

• High School diploma or equivalent.
• 1-3 years of experience in insurance verification, medical front-end revenue cycle, or healthcare administration.
• Experience with EMR and/or billing systems.
• Strong verbal and written communication skills.
• Customer service and patient-focused mindset.

Responsibilities

• Verify patient insurance eligibility, benefits, and authorization requirements prior to scheduled procedures.
• Confirm coverage details including deductibles, co-pays, co-insurance, out-of-pocket maximums, and plan limitations.
• Obtain and validate pre-authorizations and referrals as required by payer guidelines.
• Communicate financial responsibility clearly to patients, including estimated out-of-pocket costs.
• Work closely with physician offices, schedulers, and the Business Office to ensure all required information is obtained prior to service.
• Identify and resolve discrepancies in insurance information, eligibility, or authorization requirements.
• Maintain accurate and detailed documentation of all verification activities in the system.
• Ensure compliance with payer guidelines, regulatory requirements, and organizational policies.
• Support front-end revenue cycle processes to minimize denials and delays in reimbursement.
• Collaborate with billing, coding, and accounts receivable teams to ensure clean claim submission.
• Provide excellent customer service to patients and internal stakeholders.

Skills

Insurance verification

Authorization processes

Medical terminology

Communication

Confidentiality

Team collaboration

Education

High school

Tools

EMR systems

Billing systems

Job description

• Location 10720 Nall Avenue,Overland Park, KS, 66211,United States
• Employee Type FT Non-Exempt
• Required Degree High school

Contact information

• Name Jennifer Dugger
• Phone [phone]

Description

KU MedWest Ambulatory Surgery Center, LLC

Insurance Verification Representative

SUMMARY DESCRIPTION

The Insurance Verification Representative is responsible for verifying patient insurance coverage, benefits, and eligibility prior to scheduled surgical procedures. This role ensures accurate and timely verification of benefits, identification of patient financial responsibility , and communication with patients, physicians' offices, and payers to support a seamless patient experience and optimize revenue cycle performance.

This is a fast-paced environment that requires attention to detail, accountability, teamwork, and professional behavior while supporting high-quality patient care.

RESPONSIBILITIES

Verify patient insurance eligibility, benefits, and authorization requirements prior to scheduled procedures

Confirm coverage details including deductibles, co-pays, co-insurance, out-of-pocket maximums, and plan limitations

Obtain and validate pre-authorizations and referrals as required by payer guidelines

Communicate financial responsibility clearly to patients, including estimated out-of-pocket costs

Work closely with physician offices, schedulers, and the Business Office to ensure all required information is obtained prior to service

Identify and resolve discrepancies in insurance information, eligibility, or authorization requirements

Maintain accurate and detailed documentation of all verification activities in the system

Ensure compliance with payer guidelines, regulatory requirements, and organizational policies

Support front-end revenue cycle processes to minimize denials and delays in reimbursement

Collaborate with billing, coding, and accounts receivable teams to ensure clean claim submission

Provide excellent customer service to patients and internal stakeholders

KNOWLEDGE, SKILLS, and ABILITIES

Strong understanding of health insurance plans (HMO, PPO, EPO, POS, Worker's Compensation, Self-Pay, and Third-Party payers)

Knowledge of insurance verification, authorization processes, and medical terminology

Strong attention to detail with a high level of accuracy

Ability to communicate effectively with patients, payers, and internal teams

Ability to work independently and prioritize tasks in a fast-paced environment

Strong problem-solving and critical thinking skills

Ability to maintain confidentiality and handle sensitive patient information

Self-motivated with the ability to contribute to a collaborative team environment

REQUIREMENTS

High School diploma or equivalent

Preferred: 1-3 years of experience in insurance verification, medical front-end revenue cycle, or healthcare administration

Experience with electronic medical records (EMR) and/or billing systems

Basic knowledge of medical terminology and insurance processes

Strong verbal and written communication skills

Customer service and patient-focused mindset

Ability to multi-task and meet deadlines