Billing Specialist Jobs

Are you looking for not only a Job but a career? Are you over worked? Are you tired of working weekends missing out on family time, activities or just peace and quiet on Sunday?

At Women's Care our employees only work Monday through Friday no WEEKENDS! Women's Care offers that and so much more. We offer great competitive pay and the availability to grow within our organization. We believe in teamwork and loving what we do every day. Women's Care was founded in 1998 by a small group of obstetrics and gynecology physicians in Tampa. Our organization has grown tremendously through the years by remaining true to its mission of improving the health of our patients every day. We are looking for individuals to come join and grow within our team and continue to make a difference in Women's Care. Please consider us as your future home.

How You'll Contribute

• Enters information obtained through such contact into the patient and their portal prior to the patient’s first appointment
• Identifies and implements opportunities for work redesign/cross-training of procedures that improve the quality and quantity of work processed by Benefits and Authorization Coordinator
• Identify any need for peer-to-peer, letter of medical necessity or other documentation to obtain treatment precertification and notify provider immediately
• Serves as insurance benefits resource to PCC and medical office staff during treatment
• Extend expired authorizations when treatment has been delayed
• Maintains knowledge of and complies with external healthcare industry policies and procedures, including government, insurance, and third-party-payer regulations
• Identifying and billing secondary or tertiary insurances.
• Monitors Insurance Benefits Verification Representative’s processing of assigned daily activities and partners with the Billing Manager to advise of necessary adjustments to work flow, when indicated, to assure ultimate reimbursement and patient satisfaction scores
• Will reconcile all credit card charges in Card pointe and provide to accounting
• Maintains confidentiality of patient information and account status
• Will process patients credit card payments and Insurance credit payment. Will post to the patients accounts.
• Uses the insurance verification systems to contact the patient and their partner’s insurance to verify benefits, identify benefit maximums, and coordination of benefits
• Documents progress of requests and follow up in information systems until requirement is satisfied and treatment can be approved
• Maintains confidentiality of patient information and account status
• Checking eligibility and benefits verification for treatments, hospitalizations, and procedures
• Advises if it is determined that a patient’s benefits do not cover infertility treatment and that they will be in a Self-Pay status, if they wish to receive treatment. Also, inactivates the patient and their partner’s insurance in the billing system, if it is determined that they have no insurance benefits
• Answering all patient or insurance telephone inquiries pertaining to assigned accounts with the best customer service communication tactic
• Green light approved treatment cycles in a timely manner
• Contributes to team effort by maintaining an excellent rapport and working relationship with patients, insurance company contacts, nursing staff, office staff, and CEO as needed; cooperating with other departments within the organization
• Assists in the maintenance of the patient and their partner’s account by obtaining, accurately recording, and updating personal and financial information as required.
• Ensures all insurance requirements are met, secures payer authorizations with insurance for required services in an expeditious manner, and ensures that all documentation is entered according to division workflow to facilitate information sharing with all staff
• Enter authorization or precertification information into multiple systems in appropriate location
• Obtaining referrals and pre-authorizations as required for procedures
• Primary point of contact with office managers when escalated requests or scenarios occur regarding the verification process
• Maintains knowledge of and complies with external healthcare industry policies and procedures, including government, insurance, and third-party-payer regulations

Who You Are

• May require critical thinking skills and the ability to work successfully independently or in a team
• Requires working under stressful conditions or working irregular hours.
• Requires flexibility in changing patient census
• Requires exposure to communicable diseases or body fluids
• High School graduate or equivalent
• Two (2) years of medical insurance/benefits verifications, and experience with requesting Insurance Authorizations. Some experience with Billing functions
• Requires patience, compassion, and the ability to work successfully with a variety of patients, families and employee staff with positive results
• Bachelor degree preferred or a combination of training and experience.

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 110 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.

Women’s Care has grown tremendously through the years and expects to accelerate its growth with plans to expand rapidly into new markets across the U.S. With the commitment of our employees, we remain true to our mission of ‘Improving the Health of Women Every Day.’ At Women’s Care, we CARE about our patients, and we stand by our values.

Compassion & Empathy: Treating patients like valued friends and family

Accountability: Taking responsibility for our actions and behaviors

Respect: Acting respectfully in every interaction

Excellence & Quality: Providing the safest, highest quality of care

We are looking to grow our team with equally value-driven professionals who are passionate about using their skills to further our mission. We value our employees just as we value our patients, and we prioritize advantages like work-life balance, employee engagement, and other incentives to help you be your best. Now is a great time to join our team!