Insurance Verification Specialist (72422)

Womens Care founded in 1998 is a leading womens 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 Womens 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 VerificationSpecialist is responsible for performing all activities related to third party payer pre-certification functions for Womens 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 patients 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 Womens 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 HMOs PPOs Medicare Medicaid PAC Commercial Workers 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 WOMENS CARE

We Offer:

• Competitive compensation package
• Health dental and vision benefits
• Paid time offand paid holidays
• 401k plan
• An opportunity to make a difference in patientslives every day!

At Womens 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.