Insurance Eligibility & Verifications Specialist

ORTHOPEDIC SPECIALISTS OF SW; Fort Myers (FL); On-site; USD 32,000 - 52,000; Full time

Job summary

Orthopedic Specialists of SW in Fort Myers, FL is seeking a full-time Insurance Verifications Representative to manage patient authorizations and verify insurance coverage.

Responsibilities include obtaining verifications from carriers by phone, fax, or online programs, documenting eligibility, explaining patient obligations, and coordinating with staff to resolve benefits issues. The role emphasizes HIPAA compliance and accurate data entry in a fast-paced orthopedics practice.

Qualifications

• High School diploma or GED required.
• Associates degree preferred.
• Minimum of 2 years insurance and benefit experience.
• Knowledge of medical insurance and billing.
• Ability to document accounts clearly.
• Computer literate in Windows environment.
• Knowledge of medical terminology.
• Strong organizational skills.
• Ability to perform basic mathematics.
• Ability to clearly communicate written and verbal instructions.
• Ability to efficiently manage multiple tasks and prioritize.
• Telephone etiquette and computer skills.

Responsibilities

• Oversee patient authorizations and verifications of insurance, eligibility and benefits.
• Obtain verifications and authorizations from insurance companies via phone, fax, or online.
• Document eligibility and benefit information on verification forms.
• Scan and verify patient eligibility and benefits.
• Communicate with patients regarding out-of-pocket expenses.
• Facilitate payment arrangements when necessary.
• Coordinate with staff on problems related to eligibility and benefits.
• Document patient information and notes in the computer system.

Skills

Insurance verification

Process coordination

HIPAA compliance

Verbal communication

Documentation accuracy

Multitasking

Education

High School diploma or GED

Associates degree preferred

Tools

Windows environment

Job description

Orthopedic Specialists of SW in Fort Myers, FL is seeking a full-time Insurance Verifications Representative to manage patient authorizations and verify insurance coverage.

Responsibilities include obtaining verifications from carriers by phone, fax, or online programs, documenting eligibility, explaining patient obligations, and coordinating with staff to resolve benefits issues. The role emphasizes HIPAA compliance and accurate data entry in a fast-paced orthopedics practice.