Insurance Verification Coordinator

Jax Spine and Pain Centers; Jacksonville (FL); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Medical, Dental, and Vision Insurance

Paid Time Off (PTO)

Paid Holidays

401(k) Retirement Plan with Company

Employee Assistance Program (EAP)

Professional Development Opportunities

Job summary

Jax Spine and Pain Center in Jacksonville, FL is seeking an Insurance Verification Coordinator to join our Revenue Cycle team, focusing on verifying insurance eligibility, benefits, referrals, and prior authorizations to keep patient visits smooth.

The ideal candidate will have experience with commercial, Medicare, Medicaid, and managed care plans, strong attention to detail, excellent communication, and proficiency with EMR and MS Office to ensure accurate documentation and timely

Qualifications

• High school diploma or equivalent; associate degree preferred.
• Minimum of one year in insurance verification or revenue cycle roles.
• Experience with commercial, Medicare, Medicaid, and managed care plans preferred.
• Knowledge of prior authorization and referrals.
• Familiarity with EMR and Microsoft Office.
• Strong attention to detail and communication skills.
• Ability to prioritize in a fast-paced healthcare setting.

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 EMR.
• Communicate insurance coverage and financial responsibility to patients in a professional 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 HIPAA compliance.

Skills

Insurance verification

Customer service

Attention to detail

Organizational skills

Communication skills

Education

High school diploma

Associate degree preferred

Tools

EMR systems

Microsoft Office

Job description

Position Summary

Jax Spine and Pain Center is seeking a detail-oriented and customer-focused Insurance Verification Coordinator to join our Revenue Cycle team. This role is responsible for verifying patients' insurance eligibility, benefits, referrals, and authorization requirements prior to appointments and procedures. The ideal candidate is organized, knowledgeable of commercial and government insurance plans, and committed to ensuring a seamless patient experience while minimizing reimbursement delays.

Key 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.

Qualifications

• High school diploma or equivalent required; associate degree preferred.
• Minimum of one (1) 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.

Preferred Experience

• Experience in pain management, orthopedic, spine, surgery, or other specialty medical practices.
• Knowledge of CPT, ICD-10, and medical terminology.
• Experience working with multiple insurance carriers and payer portals.

Benefits: Eligible full-time employees may receive:

• Medical, Dental, and Vision Insurance.
• Paid Time Off (PTO).
• Paid Holidays.
• 401(k) Retirement Plan with Company Match.
• Employee Assistance Program (EAP).
• Professional Development Opportunities.

Join Our Team

At Jax Spine and Pain Center, we are dedicated to delivering exceptional patient care through teamwork, professionalism, and operational excellence. If you are passionate about accuracy, customer service, and supporting patients throughout their healthcare journey.