Insurance Verification Specialist

Women; Tampa (FL); On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

Competitive compensation

Health, dental, vision benefits

Paid time off

401k plan

Job summary

Women’s Care in Tampa, FL is seeking an Insurance Verification Specialist to perform third-party payer pre-certification, verify eligibility and benefits, and document in our systems. You will contact payers by phone or web, determine provider participation, and support appointment scheduling.

Ideal candidates have a high school diploma and 1–2 years of medical billing or insurance verification, solid knowledge of HMOs/PPOs/Medicare/Medicaid, CPT/ICD-10, excellent customer service, and

Qualifications

• High school diploma or equivalent required.
• 1–2 years’ medical billing/insurance verification experience.
• Solid working knowledge of HMOs, PPOs, Medicare, Medicaid, PAC, Commercial, Worker’s Comp, and liability insurances.
• 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.

Responsibilities

• Perform third party payer pre-certification functions for Women’s Care services.
• Contact insurance companies via telephone and/or insurance websites for eligibility, dates, deductible, co-payments, and co-insurance amounts.
• 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 calls and emails.

Skills

Medical billing

Insurance verification

Customer service

MS Office

Detail-oriented

Communication

Problem solving

Time management

Education

High school diploma

Job description

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.