Insurance Verification Representative

Job Description

Job Description

Insurance Verification & Scheduling Coordinator

Location: Lee's Summit, MO (Primarily onsite at our Lee's Summit clinic, with flexibility for coverage at our Overland Park, KS location 1-2 times per month)

Position Type: Contract-to-Hire

Pay Rate: $21.00 - $23.00/hour (dependent on experience; 4+ years required for the upper end of the range)

Schedule: Monday - Friday, 8:00 AM - 4:30 PM or 8:30 AM - 5:00 PM. (Must have flexibility to occasionally open the center as early as 5:00 AM or 6:00 AM for front desk backup).

About the Role

We are a growing, dynamic Ambulatory Surgery Center (ASC) dedicated to providing exceptional, patient-first care. We are seeking a highly motivated, proactive Insurance Verification & Scheduling Coordinator to join our business office team.

This role is ideal for a sharp, independent multi-tasker who loves the details. You will focus heavily on navigating the insurance landscape-verifying coverage, securing authorizations, and helping patients understand their financial responsibilities-while serving as a vital collaborative backup for our front-desk scheduling operations. If you are a self-starter who thrives in a fast-paced medical environment and doesn't need to be micromanaged, you'll fit right in.

Why You'll Love Working Here

• Work-Life Balance: No holidays, no weekends, and no night shifts.

• Growth Potential: We are a young, fast-growing center with plenty of room for professional development and career advancement.

• Great Benefits: Upon permanent conversion, you will receive a comprehensive benefits package including a robust 401(k) plan with company matching.

Key Responsibilities

• Insurance Navigation: Perform detailed insurance verifications and secure mandatory prior authorizations/pre-certifications before surgery dates.

• Financial Communication: Reach out to patients pre-operatively to discuss insurance benefits, out-of-pocket costs, deductibles, and co-payments, or to establish payment plans.

• Coding & Reimbursement: Utilize your understanding of CPT codes, diagnosis codes, and managed care contracts to ensure accuracy and maximize reimbursement efficiency.

• Scheduling Backup: Act as a dynamic backup for the front desk scheduling module, managing incoming calls, coordinating patient flow, and adjusting to fluctuating surgeon demands.

• Team Collaboration: Maintain a professional, welcoming environment in the lobby and work closely with medical staff to communicate cancellations, schedule adjustments, or special requests.

What We're Looking For (Requirements)

• Experience: Minimum of 2 years of experience in medical insurance verification, managed care, or surgery scheduling.

• Insurance Expertise: Strong working knowledge of Medicare, Blue Cross, UnitedHealthcare (UHC), and other major commercial/managed care insurance carriers.

• Technical Savvy: Solid understanding of CPT codes, ICD-10 diagnosis codes, and contract reimbursements.

• Mindset: A proactive, self-motivated attitude. We value independent workers who can spot a need and address it without waiting for instruction.

• Core Skills: Exceptional multi-tasking abilities, sharp critical thinking, strong attention to detail, and a warm but professional phone presence.

• Education: High school diploma or equivalent.

Nice-to-Haves (Preferred, but not required)

• Prior experience working specifically within an Ambulatory Surgery Center (ASC) or a high-volume physician specialist office.

• Deep "insurance intelligence" regarding contract reimbursement nuances.

Physical Requirements & Environment

• Ability to sit for extended periods at a computer workstation, as well as move throughout the clinic (walking, standing, bending) to assist patients.

• Ability to occasionally lift up to 50 lbs if helping with front office or equipment adjustments.

• Comfortable working in a climate-controlled clinical environment with moderate noise (phones, pages, equipment alarms).

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.

Company Description

Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.

Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?

Company Description

Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.\r\n\r\nOur commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?