Insurance Verification Representative I - Part Time Weekdays

**Position Title:** ------------------- Insurance Verification Representative I - Part Time Weekdays **Department:** --------------- Admitting **Job Description:** -------------------- 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** _Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position._ * 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. **Current OU Health Employees - Please click** [HERE](https://wd5.myworkday.com/oumedicine/login.htmld) **to login.** --------------------------------------------------------------------------------------------------------------------- **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.** ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------