Insurance Verification Specialist (74691)

Women's Care; Tampa (FL); On-site; USD 34,000 - 52,000; Full time

Benefits offered by this job

Health, dental, and vision benefits

Paid time off and paid holidays

401k plan

Opportunity to make a difference in患者s

Job summary

Women’s Care in Tampa is seeking an Insurance Verification Specialist to handle third-party payer pre-certification for services across our women’s health network. This on-site role supports patient care across multiple OB/GYN and specialty services.

The position requires 1–2 years of medical billing or insurance verification experience, knowledge of CPT/ICD-10, and excellent customer service. Candidates must be detail-oriented, organized, and capable of working in a fast-paced environment.

Qualifications

• Minimum of 1-2 years of medical billing or insurance verification experience.
• Excellent customer service skills (verbal and written).
• Strong knowledge of CPT, ICD-10 and medical terminology.

Responsibilities

• Contact insurance companies via telephone or insurance portals for eligibility, dates, deductible, co-payments and co-insurance.
• Verify eligibility and benefits prior to patient appointments or procedures.
• Document all necessary information in appropriate systems.
• Determine provider participation status with payer.
• Answer incoming billing customer service calls and emails.
• Demonstrate and embody Women’s Care mission and core values.
• Comply with HIPAA rules and guidelines.

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

Job Details: Job Location: 10200_TPA_4321 N MacDill Ave Ste 307 - Tampa, FL 33607, Position Type: Full Time, Job Category: Non-Clinical Staff, 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.

Responsibilities

• 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.