Insurance Verification Specialist

Women’s Care

  • Tampa, FL
  • Permanent
  • Full-time
  • 1 month ago
Job DetailsJob Location: TAMPA, FLPosition Type: Full TimeSalary Range: UndisclosedDescriptionThe 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
  • 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.

Women’s Care