Medical Insurance Verification Specialist

Women's Care; Tampa (FL); In loco; USD 36.000 - 48.000; Tempo pieno

Vantaggi offerti da questo lavoro

Health benefits

Dental benefits

Vision benefits

Paid time off

Holidays

401k plan

Career growth opportunities

Descrizione del lavoro

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.

Competenze

• 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.

Mansioni

• 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.

Conoscenze

Customer service

Communication

Problem solving

Detail-oriented

Organized

Stress management

Punctuality

Formazione

High school diploma

Strumenti

Microsoft Office

Descrizione del lavoro

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.