About Us
Laurel Oak Women’s Health is a woman-led, woman-owned OB/GYN practice delivering personalized, compassionate care to women of all ages. We’re known for our supportive, team-based culture and our commitment to exceptional patient care.
We’re currently seeking an Insurance Authorization and Billing Specialist with at least 3 years of experience in a specialty medical practice, preferably OB/GYN, surgical, or procedural care. This role is not entry-level and requires someone who already understands how to manage complex insurance scenarios and patient financial counseling in a specialty setting.
About the Role
This is a hands-on position that requires deep knowledge of revenue cycle workflows, not just basic eligibility checks. You’ll be responsible for verifying benefits, interpreting detailed policy information, building CPT-based cost estimates, and guiding patients through maternity coverage and OB global billing.
You’ll collaborate closely with our clinical and billing teams to ensure patients understand their financial responsibilities before care is delivered, and help prevent billing issues down the line.
Key Responsibilities
- Verify insurance eligibility and benefits for office visits, diagnostics, in-office procedures, and outpatient surgeries
- Interpret and explain deductibles, coinsurance, exclusions, and maternity benefits to patients
- Use tools like Availity and payer portals to obtain authorizations and confirm network participation
- Build accurate cost estimates using CPT and diagnosis codes in coordination with providers
- Maintain financial contracts for OB global billing and multi-phase care, and educate patients on timelines
- Track and secure authorizations and referrals in advance of care
- Coordinate with clinical and billing staff to support clean claims and prevent denials
- Clearly and compassionately discuss financial responsibility, especially with high-cost services
- Collect deposits, set up payment plans, and manage pre-care collections
- Follow up on pending estimates, authorizations, and unresolved balances
Minimum Requirements
- At least 3 years of experience in insurance verification or billing within a specialty medical office (OB/GYN, surgery, or procedural specialties preferred)
- Experience generating accurate estimates using CPT and ICD-10 codes
- Familiarity with prior authorization workflows and payer-specific requirements
- Strong working knowledge of insurance benefits, especially for specialty care and maternity services
- Proficient in tools like Availity, payer portals, and EMR systems (Athena preferred)
- Clear, professional communication skills—especially when discussing cost and coverage with patients
- Highly organized, detail-oriented, and comfortable working independently
- Empathetic and confident when navigating sensitive financial conversations
- Bilingual in English/Spanish is a strong plus
Job Type: Full-time
Pay: From $20.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Vision insurance
Experience:
- Insurance verification: 3 years (Required)
Work Location: In person
