Insurance Verification & Eligibility Specialist

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

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