Insurance Verification Specialist (74609)

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 Patient Access Representative is the first face and voice of Women’s Care and is a critical role for the practice.  They are the first touchpoint that begins the patient experience, with customer service being at the forefront.  The Patient Access Representative collects information for registration of new and/or incoming patients, confirms that we have up-to-date information to ensure a complete and accurate scheduling and billing encounter, and ensures our patient’s experience with us is extraordinary.

• Greet all patients and visitors with a smile in a prompt and courteous manner.
• Obtain and confirm patient demographics and update patient profile, including proper patient identification according to the Women’s Care patient identification policy.
• Collect payment and/or assist patient with billing concern while ensuring practices meet time of service collection expectations and goals.
• Scan insurance card, ID, and other pertinent information into EMR system (HIPAA compliance, authorizations, medical records, etc.).
• Set up payment plans for patients unable to pay balances per Women’s Care Payment Plan policy.
• Must have a full understanding of the financial policies and patient forms to be able to clearly answer any questions.
• Answer a high volume of incoming phone calls and respond to patient emails promptly while in accordance with the Women’s Care Values
• Confirm all unconfirmed appointments for the next business day.
• Monitor the lobby frequently to ensure no one has been waiting too long and keep patients informed if provider delays occur.
• May assist patients who are having difficulty with online registration or completion of forms.
• Schedule or reschedule appointments.
• May act as a back up to verify patient insurance information and determine possible patient payment responsibility.
• Verify that all patients have had insurance eligibility and registration completed prior to being seen by the provider.
• Schedule any follow up appointments upon patient check out.
• Ensure all appointments in eCW are “checked out” at the end of each day or appropriately updated.
• Ensure that the lobby and front area are always kept tidy and presentable.  And, if necessary, cleaning the waiting room.
• 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.
• Must have exceptional customer service experience and a true desire to help others while providing a positive patient experience at every encounter. 
• Strong organizational skills required.
• Must have a customer-centric focus and present themselves in warm, welcoming, and professional demeanor.
• Strong verbal and written communication skills.
• Deadline-driven and detail-oriented.
• High level of computer literacy with the ability to use and/or quickly learn computer programs including Microsoft Office.
• Ability to multi-task in a high-volume and dynamic atmosphere.
• Ability to communicate and work efficiently with patients, co-workers, and providers.
• Must be dependable, reliable, and punctual.

Preferred Skills:

• Preferably one year of experience working in a medical office or healthcare setting, OBGYN a plus. 
• General knowledge of medical terminology and billing is beneficial.
• Preferred experience working with an electronic medical records system, specifically eClinicalWorks (eCW) a plus.

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. 

1. Communication & Collaboration
2. Transparency
3. Accountability & Integrity
4. Patient Care & Innovation
5. Excellence
6. Respect

With the commitment of our employees, we remain true to our mission of providing unparalleled healthcare services to women every day.