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Insurance Verification Scheduler Jobs in Kansas (NOW HIRING)

Koch Industries

Commercial Scheduler

Wichita, KS · On-site

$16.75 - $21.75/hr

... accounts, life insurance, ADD, disability, retirement, paid vacation/time off, educational ... This employer uses E-Verify. Please click here for additional information. (For Illinois E-Verify ...

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Insurance Verification Scheduler information

What does an insurance verification scheduler do?

An Insurance Verification Scheduler is responsible for verifying a patient's insurance coverage and benefits before medical appointments or procedures. They contact insurance companies to confirm eligibility, benefits, and any requirements for pre-authorization. Additionally, they communicate with patients about their coverage, ensure accurate billing information, and help prevent delays in care due to insurance issues. Their work is essential to streamline patient access to healthcare services and minimize denied claims.

What are the key skills and qualifications needed to thrive as an insurance verification scheduler, and why are they important?

To thrive as an Insurance Verification Scheduler, you need strong attention to detail, knowledge of insurance processes, and familiarity with medical terminology, often backed by a high school diploma or equivalent. Experience with insurance verification software, electronic health records (EHRs), and scheduling systems is typically required. Excellent communication, organization, and problem-solving skills help build rapport with patients and collaborate effectively with healthcare teams. These skills ensure accurate insurance verification, minimize billing errors, and support a smooth patient experience.

What are common challenges faced by insurance verification schedulers, and how can they be addressed?

Insurance Verification Schedulers often encounter challenges such as managing high call volumes, navigating complex insurance policies, and ensuring timely communication between patients, providers, and insurance companies. Staying organized and detail-oriented is crucial, as missing information can delay patient care and create additional work. Utilizing electronic health records (EHR) systems and maintaining strong relationships with both clinical and administrative teams can help streamline the verification process and reduce errors.

What is the difference between Insurance Verification Scheduler vs Insurance Billing Specialist?

AspectInsurance Verification SchedulerInsurance Billing Specialist
Primary RoleSchedule and verify insurance coverage before patient appointmentsProcess and submit insurance claims after services are provided
CredentialsTypically high school diploma or equivalent; certification not mandatoryHigh school diploma; certification in medical billing preferred
Work EnvironmentFront-office, healthcare clinics, hospitalsBilling departments, healthcare offices, hospitals
Industry UsageCommonly used in outpatient clinics and hospitalsUsed across healthcare providers for claims processing

The Insurance Verification Scheduler focuses on confirming insurance coverage prior to patient visits, ensuring smooth scheduling. In contrast, the Insurance Billing Specialist handles post-visit billing and claims submission. Both roles are essential in healthcare revenue cycle management but differ in timing and responsibilities.

How do you become an insurance verification scheduler?

To become an insurance verification scheduler, candidates typically need a high school diploma or equivalent and strong organizational and communication skills. Experience with healthcare billing, insurance processes, or scheduling software can be beneficial, and some employers may require familiarity with electronic health record systems. Certification is not usually mandatory but can enhance job prospects.

Is it hard to learn insurance verification scheduler?

Learning to be an insurance verification scheduler involves understanding insurance policies, verification procedures, and using scheduling or healthcare management software. The role typically requires attention to detail and good communication skills but is generally accessible with training and practice, often provided by employers. Prior experience in healthcare or insurance can be helpful but is not always necessary for entry-level positions.

What cities in Kansas are hiring for Insurance Verification Scheduler jobs?

Cities in Kansas with the most Insurance Verification Scheduler job openings:

Insurance Verification Scheduler jobs near you

Scheduler-Full Time-Days

Coffeyville, KS • On-site

Cape Fear Valley Health
Health Care and Social Assistance • 5 - 10K employees
Learn more about Cape Fear Valley Healthexternal

$14.25 - $17/hr

Full-time

Re-posted 11 days ago

Cape Fear Valley Health rating

6.2

Company rating: 6.2 out of 10

Based on 111 frontline employees who took The Breakroom Quiz

700th of 898 rated healthcare providers

Job description

Facility

CFV Gastro QC - Building

Location

Fayetteville, North Carolina

Department

CFV Gastroenterology Quiet Cove

Job Family

Clerical

Work Shift

Days (United States of America)

Summary

Obtains and/or verifies demographic, clinical, financial, and insurance information in the process of appointment making for patient tests and procedures, pre-registering and financial clearing for service delivery. Validates medical necessity (LMRP/LCD review) of Medicare and Non-Medicare cases to ensure clinical and financial clearance. Additionally, the incumbent obtains and processes signed physician orders to ensure clinical documentation for care delivery. The incumbent conducts online insurance eligibility/benefit verification, pre-certification/authorization, referral clearance and financial education on designated cases. As appropriate, the incumbent notifies patient/guarantor and collects patient liabilities, and refers appropriate cases to resource counseling for follow-up and consultation.Major Job Functions

The following is a summary of the major essential functions of this job. The incumbent may perform other duties, both major and minor, that are not mentioned below. In addition, specific functions may change from time to time:

  • Receive orders and schedule outpatient appointments for all modalities except biopsy and special procedures and all radiology outpatient facilities

  • Determines proper scheduling requirements and/or limitations according to requested tests/procedures and schedules resources (equipment, staff, room, etc.)

  • Coordinates add-on and same-day appointments as required

  • Ensures proper test sequencing with minimal patient delays, when multiple testing is required.

  • Performs insurance eligibility/benefit verification, utilizing a variety of mechanisms (EDI transactions, web access and by calling payers) and documenting information within the appropriate registration system; supporting with reference number.

  • Pre-registers the patient for upcoming visit(s).

  • Calls patient to remind of appointment date, time, location, and preparation for procedures following protocols; as well as informs the patient of their financial responsibility, answer questions and give directions.

  • Validates medical necessity (LMRP/LCD review) of Medicare and Non-Medicare cases to ensure clinical and financial clearance.

  • Informs patient/guarantor of their liabilities and collects appropriate patient co-payments, co-insurances, deductibles, deposits and outstanding balances at the point of pre-registration.

  • Provides patient, family and physician office education during scheduling process to inform them of preparations needed for diagnostic testing and proper scheduling instructions

  • Sends and/or communicates appointment confirmation to referring office

  • Reconciles charge reports daily and communicates errors to staff

  • Other duties as assigned

Minimum Qualifications

The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job:

Education and Formal Training:

  • High school diploma or equivalent required

  • College courses in Business or Health Care Administration and/or Computer Technology preferred

  • Medical terminology required within one year of employment

Work Experience:

  • 1 year insurance/clerical experience within a hospital or medical office setting preferred

Knowledge, Skills, and Abilities Required:

  • Proficiency in reading, writing, and speaking the English language

  • Must pass pre-employment testing and post-training testing

  • Must have knowledge of insurance and collection of payments

  • Must have experience with Microsoft software

  • Must possess excellent verbal and written communication skills, customer service skills and problem-solving abilities

  • Must be multi-skilled with the ability to appropriately handle complexity and stress with the changing needs of the patients, families, visitors, and the Health System

  • May be required to periodically rotate shifts and regular days off

  • All system employees must have the flexibility to meet the department hours of operation

Physical Requirements:

  • Must be able to communicate orally, see, and hear to collect information

  • Must have dexterity to operate office equipment

  • Position operates in an office, call center environment

  • Work area is well-lit, temperature controlled and free from hazards

  • The incumbent is subject to eyestrain due to the many hours spent looking at a CRT screen

  • The noise level is low to moderate

  • Answers telephone calls, uses personal computer and other business machines extensively

  • Bends, reaches, pushes and pulls file drawers to file records and reports

  • Regularly lift or move up to 10 pounds, frequently lift or move up to 25 pounds and occasionally lift or move up to 50 pounds

Required Licenses and Certifications

Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity

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