Insurance Verification Specialist (70955)

Women's Care•Gibsonton, FL

16d

About The Position

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.

Requirements

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.

Responsibilities

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.