Insurance Verification Specialist (74439)

Women's Care; Jacksonville (FL); On-site; USD 32,000 - 48,000; Full time

Benefits offered by this job

Health benefits

Dental benefits

Vision benefits

Paid time off

Paid holidays

401k plan

Job summary

Women's Care is seeking an Insurance Verification Specialist in Jacksonville, FL. The role focuses on pre-certification activities, verifying patient eligibility, benefits, and coverage details to ensure smooth scheduling and billing processes.

The ideal candidate will have 1–2 years of medical billing experience, strong knowledge of CPT/ICD-10, and excellent communication skills to interact with patients and insurers in a fast-paced environment.

Qualifications

• High school diploma or equivalent required.
• 1-2 years' medical billing/insurance verification experience preferred.
• Knowledge of CPT, ICD-10, and medical terminology.
• Excellent customer service skills, both verbal and written.

Responsibilities

• Contact insurance companies via telephone and/or websites for eligibility and benefits.
• Verify eligibility and benefits prior to appointments or procedures.
• Document all information in appropriate systems.
• Determine provider participation status with payer.
• Answer billing customer service calls and emails.
• Comply with HIPAA rules and guidelines.
• Other duties as assigned.

Skills

Customer service

Microsoft Office

Detail-oriented

Communications

HIPAA compliance

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

Job Details

Job Location: 11004_JAX_14546 Old St Augustine Rd Ste 305 - Jacksonville, FL 32258Position Type: Full TimeJob Category: Non-Clinical StaffWomen'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.

Insurance Verification Specialist

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 package
• Health, dental, and vision benefits
• Paid time off and paid holidays
• 401k plan
• An 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 & Collaboration
• Transparency
• Accountability & Integrity
• Patient Care & Innovation
• Excellence
• Respect

With the commitment of our employees, we remain true to our mission of providing unparalleled healthcare services to women every day.