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
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.
Skills Required
- High school diploma or equivalent
- 1-2 years medical billing/insurance verification experience
- Working knowledge of HMOs, PPOs, Medicare, Medicaid, PAC, Commercial, Worker's Comp, and liability insurances
- Knowledge of CPT, ICD-10, and medical terminology
- Proficiency in Microsoft Office programs
- Excellent verbal and written customer service skills
- Ability to interact with patients, families, staff, physicians, and insurance representatives
- Compliance with HIPAA rules, regulations, and guidelines
- Highly detail-oriented, organized, dependable, and punctual
- Ability to handle stressful situations tactfully and work in a fast-paced environment
- Strong problem-solving skills
What We Do
Founded in 1998, Women's Care is a leading women's healthcare group in the United States dedicated to providing the highest quality of care for women. The organization offers comprehensive OBGYN and women's health services through all phases of life, utilizing a network of professional health centers to deliver specialty care, routine annual exams, and telehealth services to their patients.
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