Insurance Verification Representative - Quivira ASC
KU MedWest Ambulatory Surgery•Olathe, KS
About The Position
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.
Requirements
- High School diploma or equivalent
- 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
Nice To Haves
- 1–3 years of experience in insurance verification, medical front-end revenue cycle, or healthcare administration
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
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What This Job Offers
Career Level
Entry Level
Education Level
High school or GED
