Insurance Verification & Authorization Specialist

Jax Spine and Pain Centers; Jacksonville (FL); On-site; USD 40,000 - 52,000; Full time

Benefits offered by this job

Medical, Dental, and Vision Insurance

Paid Time Off (PTO)

Paid Holidays

401(k) Retirement Plan with Company M

Employee Assistance Program (EAP)

Professional Development Opportunities

Job summary

Jax Spine and Pain Center is seeking an Insurance Verification Coordinator to join our Revenue Cycle team. You will verify insurance eligibility, benefits, referrals, and authorization requirements to ensure smooth patient scheduling and minimize delays.

The role requires knowledge of commercial and government plans, and strong attention to detail, communication, and HIPAA compliance to protect patient information in a fast-paced healthcare setting.

Qualifications

• High school diploma or equivalent required; associate degree preferred.
• Minimum of one year of insurance verification, medical scheduling, patient access, or revenue cycle experience preferred.
• Experience verifying commercial, Medicare, Medicaid, Workers' Compensation, and managed care insurance plans preferred.
• Knowledge of prior authorization and referral requirements.
• Familiarity with EMR systems and Microsoft Office applications.
• Strong attention to detail, organizational skills, and problem-solving abilities.
• Excellent verbal and written communication and customer service skills.
• Ability to prioritize multiple tasks in a fast-paced healthcare environment.

Responsibilities

• Verify patient insurance eligibility, benefits, coverage, and plan limitations prior to scheduled appointments and procedures.
• Determine patient financial responsibility, including deductibles, copayments, coinsurance, and out-of-pocket costs.
• Obtain and document required referrals and prior authorization requirements.
• Accurately update insurance information within the electronic medical record (EMR).
• Communicate insurance coverage and financial responsibility to patients in a professional and compassionate manner.
• Collaborate with scheduling, front desk, clinical staff, and revenue cycle teams to resolve insurance-related issues.
• Identify and resolve eligibility discrepancies before the patient's visit.
• Maintain thorough documentation of verification activities and payer communications.
• Stay current on payer guidelines, insurance policies, and regulatory changes.
• Protect patient confidentiality and maintain HIPAA compliance.

Skills

Attention to detail

Organizational skills

Problem-solving

Verbal communication

Written communication

Customer service

Multitasking

Education

High school diploma or equivalent

Associate degree

Tools

EMR systems

Microsoft Office

Job description

Jax Spine and Pain Center is seeking an Insurance Verification Coordinator to join our Revenue Cycle team. You will verify insurance eligibility, benefits, referrals, and authorization requirements to ensure smooth patient scheduling and minimize delays.

The role requires knowledge of commercial and government plans, and strong attention to detail, communication, and HIPAA compliance to protect patient information in a fast-paced healthcare setting.