Insurance Verification Specialist (74691)

Women's Care; Tampa (FL); Sur place; USD 36 000 - 48 000; Plein temps

Avantages offerts par ce poste

Health benefits

Dental benefits

Vision benefits

Paid time off

Holidays

401k plan

Career growth opportunities

Résumé du poste

Women's Care in Tampa, FL is seeking an Insurance Verification Specialist to manage third-party payer pre-certification activities and verify eligibility before appointments.

You will contact insurers, document information, determine provider participation, and support patient care while upholding HIPAA and quality standards.

Strong attention to detail, communication skills, and proficiency with CPT/ICD-10 knowledge are valued, with competitive benefits and a collaborative team environment.

Qualifications

• High school diploma or equivalent required.
• 1–2 years' medical billing/insurance verification experience.
• Knowledge of HMOs, PPOs, 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.

Responsabilités

• 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.

Connaissances

Customer service

Communication

Problem solving

Detail-oriented

Organized

Stress management

Punctuality

Formation

High school diploma

Outils

Microsoft Office

Description du poste

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 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!

• 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.

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.