Responsibilities Essential Functions:

Insurance Verification & Prior Authorization:

Verify patient insurance coverage, benefits, and eligibility prior to scheduled appointments, and secure necessary referrals or pre-authorizations from providers and payers.

Patient Financial Counseling & Inquiries:

Serve as the primary point of contact for patient billing questions, explaining insurance coverage, account balances, and financial responsibility with clarity and compassion.

Billing Support & Reporting:

Assist with the preparation of routine billing reports, account reconciliations, and internal audits to support practice financial operations. Claim Resolution /

Pre-billing Support:

Review patient accounts for missing insurance info or billing flags prior to claim submission Patient Intake & Check-In /

Check-Out:

Support check-in and check-out procedures, collect co-pays, deductibles, and outstanding balances, and schedule necessary follow-up appointments.

Front Desk Coverage & Phone Support:

Provide coverage for the front desk reception during peak hours, breaks, or staff absences, including answering incoming calls and scheduling patient appointments per provider protocols.

Knowledge, Skills, and Abilities:

Strong understanding of health insurance plans, coverage types, eligibility verification, payer portals, and referral/prior authorization processes. Proficiency with Electronic Health Records (EHR/EMR) software, medical practice management systems, and standard office applications (Microsoft Office, Excel, Outlook). Working knowledge of general medical and billing terminology (OB/GYN terminology preferred). Excellent ability to explain insurance benefits, patient financial responsibility, co-pays, and billing inquiries clearly, tactfully, and compassionately. Fluency in English and Spanish strongly preferred to effectively communicate with diverse patient populations. Exceptional interpersonal skills with the ability to handle sensitive financial discussions and de-escalate patient concerns in a calm, professional manner. Strong organizational skills with the adaptability to smoothly transition between detailed administrative/billing duties and front desk coverage as needed Strict adherence to HIPAA guidelines, patient privacy standards, and regulatory compliance regarding financial and medical health information.

Work Environment:

Training will be completed in Wesley Chapel location Work is performed in a professional healthcare setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets. Possible exposure to communicable diseases, blood-borne pathogens, and toxic substances in the work environment.

Education Education:

High School Diploma or GED required.

Preferred Education:

Associate degree or certificate in Healthcare Administration, Medical Billing and Coding, or a related field preferred

Experience Required:

Minimum of 2 years' experience in a medical office, clinic, or healthcare setting with direct exposure to insurance verification, patient check-in/check-out, and financial collections.

Preferred experience:

Prior experience in an OB/GYN or specialty women's health practice. Direct experience working with payer portals, referral tracking, and handling patient billing inquiries.

Language Skills:

English required; Bilingual fluency in English and Spanish strongly preferred.

Pay:

$19.00 - $23.00 per hour

Benefits:

401(k) Dental insurance Employee assistance program Employee discount Flexible spending account Health insurance Life insurance Paid time off Vision insurance

Work Location:

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