Insurance Verification Specialist

Women's Care PC; Jacksonville (FL); Vor Ort; USD 25.000 - 34.000; Vollzeit

Benefits dieser Stelle

Health, dental, and vision benefits

Paid time off and paid holidays

401k plan

Zusammenfassung

Women’s Care PC is seeking an Insurance Verification Specialist to handle third-party payer pre-certification for services. You will verify eligibility, benefits, and dates prior to procedures, and document all details in our systems.

The role requires strong communication with payers and internal staff, ensuring accurate coverage information. We value HIPAA compliance, attention to detail, and the ability to thrive in a fast-paced environment while delivering excellent patient service.

Qualifikationen

• 1-2 years’ medical billing/insurance verification experience.
• Knowledge of CPT, ICD-10, and medical terminology.
• Excellent customer service skills, verbal and written.
• Proficiency in Microsoft Office programs.
• Ability to interact with patients, staff, and payers.

Aufgaben

• Perform third party payer pre-certification functions for services.
• Verify eligibility and benefits prior to scheduled appointments or procedures.
• Contact insurance companies for eligibility dates, deductible, co-payments, and coinsurance.
• Document information in appropriate systems and determine payer participation.
• Answer billing customer service calls and emails.

Kenntnisse

Medical billing

Insurance verification

CPT ICD-10 knowledge

Customer service

Microsoft Office

Ausbildung

High school diploma

Tools

Insurance portals

Jobbeschreibung

Women’s Care, founded in 1998, is a leading women’s healthcare group in the United States, dedicated to providing the highest quality of care for women through their reproductive years and beyond. With 100+ locations and over 400 OB/GYNs and specialists across the country, Women’s Care provides comprehensive patient care in obstetrics, gynecology, gynecologic oncology, urogynecology, gynecologic pathology, breast surgery, genetic counseling, maternal fetal medicine, laboratory services, and fertility.The Insurance Verification Specialist is responsible for performing all activities related to third party payer pre-certification functions for Women’s Care services.Contact insurance companies via telephone and/or insurance websites for eligibility, eligibility dates, deductible, co-payments, and co-insurance amounts due.Verify eligibility and benefits prior to patient’s scheduled appointments or procedures.Document all necessary information in appropriate systems.Determine provider participation status with payer.Answer incoming billing customer service phone calls and emails.Demonstrate and embody the Women’s Care mission and core values.Compliance with all HIPAA rules, regulations, and guidelines.Other duties as assigned.Qualifications:High school diploma or equivalent required.A minimum of 1-2 years’ medical billing/insurance verification experience.Solid working knowledge of HMO’s, PPO’s, Medicare, Medicaid, PAC, Commercial, Worker’s Comp, and liability insurances.Ability to interact with patients, families, staff, management, physicians, insurance representatives, and other third-party payers.Knowledge of CPT, ICD-10, and medical terminology.Excellent customer service skills, both verbal and written.Proficiency in all Microsoft Office programs.Must be highly detail-oriented and organized.Able to handle stressful situations tactfully.Demonstrate excellent problem-solving skills.Ability to work in a fast-paced, ever-changing environment.Dependable, reliable, and punctual.WHY JOIN WOMEN'S CARE?We Offer:Competitive compensation packageHealth, dental, and vision benefitsPaid time off and paid holidays401k planAn opportunity to make a difference in patients' lives every day!At Women’s Care, we believe that our success is built on a foundation of strong, shared values. These values guide our actions, shape our culture, and define who we are as an organization.Communication & CollaborationTransparencyAccountability & IntegrityPatient Care & InnovationExcellenceRespectWith the commitment of our employees, we remain true to our mission of providing unparalleled healthcare services to women every day.