Insurance Verifier I

OU Medical Center; United States; Remote; USD 38,000 - 52,000; Full time

Benefits offered by this job

PTO

401(k) plan

Medical and dental plans

Job summary

OU Medical Center is seeking an Insurance Verifier I to support the Admitting department by performing timely pre-registration and insurance verification for patients. The role requires accurate data entry, communication with patients, and careful documentation in the EMR.

The position emphasizes verifying benefits, collecting patient cost shares, and ensuring compliance with payor requirements. A high school diploma and hospital patient access experience are required.

Qualifications

• High School Diploma or GED required.
• 1+ year of hospital Patient Access experience required.
• Strong communication skills required.
• Customer service orientation required.
• Basic math and PC proficiency required.

Responsibilities

• Pre-register and verify insurance for inpatient and outpatient services.
• Follow scripted benefits verification and pre-certification in the EMR and document results.
• Contact patients to confirm or obtain missing demographic information and collect cost share.
• Assign insurance plans and perform electronic eligibility confirmation.
• Complete Medicare Secondary Payor Questionnaire as applicable.
• Document benefit information and authorization in the EMR.

Skills

Verbal & written communication

Customer service

Basic math

PC proficiency

Education

High School Diploma or GED

Job description

Position Title: Insurance Verifier I

Department: Admitting

The Insurance Verification Representative I is responsible for timely and accurate pre-registration, insurance verification, and patient demographic updates. This role ensures compliance with payor requirements and supports the revenue cycle through effective communication and documentation.

Essential Responsibilities

• 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.

General Responsibilities

• Performs other duties as assigned.

Minimum Qualifications

• Education Requirements: High School Diploma or GED required.
• Experience Requirements: 1 or more years of experience in hospital Patient Access required.
• License/Certification/Registration Requirements: None Required.
• Knowledge/Skills/Abilities Requirements: Verbal and written communication.
• Customer service orientation.
• Basic math and PC proficiency.
• Ability to work effectively with patients, staff, and external parties.

OU Health is an equal opportunity employer.

We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.