Healthcare Authorization Specialist II

The Nemours Foundation; Jacksonville (FL); On-site; USD 42,000 - 54,000; Full time

Job summary

Nemours in Jacksonville, FL seeks an Insurance Authorization Coordinator II to obtain authorizations for hospital- and physician-based services. The role requires cross-training across workflows, verification of eligibility, and documentation to support accurate financial collections.

The Specialist collaborates with multiple departments and communicates with patients and providers to ensure timely approvals.

Qualifications

• 3-5 years auth experience required.
• Knowledge of payer requirements and insurance policies.
• Strong attention to detail and accuracy in documentation.

Responsibilities

• Request and obtain preauthorizations for assigned services.
• Verify insurance coverage, eligibility, and patient financial responsibilities.
• Communicate with patients, families, and healthcare professionals about authorization status.
• Maintain accurate records of authorization requests and outcomes.

Skills

Authorization

Insurance verification

Documentation

Communication

Education

High School Diploma

Job description

Nemours in Jacksonville, FL seeks an Insurance Authorization Coordinator II to obtain authorizations for hospital- and physician-based services. The role requires cross-training across workflows, verification of eligibility, and documentation to support accurate financial collections.

The Specialist collaborates with multiple departments and communicates with patients and providers to ensure timely approvals.