Insurance Verification Representative

The Insurance Verification Representative supports UHealth’s Central Business Office by verifying patient insurance eligibility and benefits, reviewing coverage details, updating insurance information in UChart, documenting copays and benefits, and supporting referral and authorization workflows before the patient’s date of service.

This role works with insurance websites, automated verification tools, UChart, telephone outreach, primary care offices, health plans, patients, departments, and internal Patient Access teams. The representative helps obtain referrals and authorizations, documents authorization details, approves referrals, financially clears visits, and communicates with patients or departments when authorizations are denied, redirected, pending, or missing required information.

This position is remote but includes patient, provider office, health plan, and internal team communication, making it a moderate-phone healthcare revenue cycle role.

### Key Responsibilities

* Verify insurance eligibility and benefits through UChart, RTE, online payer portals, telephone, or automated services
* Add, update, and validate insurance information in UChart
* Confirm guarantor accounts, insurance plans, subscriber information, policy numbers, claims addresses, and plan order
* Complete insurance verification checklists and document copay information
* Create referrals for benefits-only review or preauthorization needs
* Document deductible, coinsurance, out-of-pocket, referral, and authorization information
* Meet assigned productivity and quality standards
* Maintain work queues at least 14 days ahead with minimum daily pending visits
* Contact primary care offices and health plans to obtain authorizations or referrals
* Submit required documentation for authorization requests
* Obtain authorizations for facility and provider services based on clinic location requirements
* Enter and attach authorization information in UChart
* Approve referrals and financially clear visits
* Communicate with patients and departments about authorization denials, redirections, pending status, or missing information
* Provide customer service for insurance-related questions
* Collaborate with Patient Access and department teams
* Participate in process improvement initiatives
* Escalate service recovery issues according to department standards

### Requirements

* High School Diploma or equivalent
* Minimum 1 year of relevant work experience
* Computer literacy required
* EPIC scheduling and registration experience preferred
* Strong written and verbal communication skills
* Ability to work in a team environment
* Ability to remain calm under pressure and stressful situations
* Ability to provide service and support to patients and internal staff

### Senior-Level Requirements

* High School Diploma or equivalent
* 3 years of direct insurance verification and registration experience
* Knowledge of insurance authorization and referral guidelines
* Knowledge of insurance requirements and payer processes
* Ability to communicate effectively with physicians, patients, teammates, and staff
* Bilingual skills preferred

### Benefits

* Competitive salary
* Medical benefits
* Dental benefits
* Tuition remission
* Comprehensive benefits package

### Good Fit For

This role may be a strong fit for candidates with experience in insurance verification, benefits verification, prior authorization, referrals, patient access, registration, revenue cycle, healthcare customer service, payer portals, UChart, EPIC, medical office administration, or financial clearance workflows.