Remote Insurance Verification Lead

OU Health

United States

Remote

USD 42,000 - 65,000

Full time

3 days ago

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Job summary

OU Health is seeking an Insurance Verification Representative II for the Central Insurance Verification Clinic Team to ensure accurate pre-registration and insurance verification for inpatients and outpatients. This role leads daily operations, trains staff, and resolves complex verification issues while maintaining compliance with payor requirements and documenting results in the EMR.

Strong communication and attention to detail are essential.

Qualifications

3+ years of hospital Patient Access experience.
HFMA CRCR or CHFP certification required within 180 days of hire.
High school diploma or GED required.

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.
Calculate patient cost share and arrange payment or collection via phone.
Lead daily operations and assist staff with complex insurance verification issues.
Monitor and reconcile reports to ensure timely and accurate processing.
Train new staff and provide ongoing guidance to team members.
Serve as point of contact for escalated issues with physicians, insurance companies, and case managers.