OBGYN Insurance Specialist

Plaza OB/GYNHouston, TX
$45,000 - $50,000Onsite

About The Position

Plaza OBGYN is a well-established private OBGYN practice in Houston's Museum District. The practice focuses on helping patients manage all issues related to peri-menopause and menopause. It also offers well-woman exams and early pregnancy monitoring. The Insurance Specialist is a full-time, on-site position responsible for managing insurance-related processes to support accurate and timely reimbursement.

Requirements

  • Basic understanding of OB/GYN coding
  • Knowledge and experience in OB/GYN coding is required
  • Experience with E-Clinical medical software
  • Proficiency with practice management and ability to generate financial data
  • Experience in a medical office setting, preferably in an OB/GYN
  • Ability to interpret insurance policies and explanation of benefits
  • Proven customer service skills with a patient-focused approach

Responsibilities

  • Verifying patient insurance coverage
  • Obtaining authorizations and referrals
  • Confirming benefits prior to visits
  • Reviewing claims prior to submission
  • Resolving billing discrepancies
  • Addressing denials or payment issues with insurance carriers
  • Credentialing
  • Review of insurance contracts
  • Appealing any contract whose rates are low

Benefits

  • PTO time
  • Holiday vacations
  • Health insurance
  • Paid parking
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