Insurance Verification Specialist - Patient Access

Orthopedic Specialist of SW Florida; Fort Myers (FL); On-site; USD 40,000 - 52,000; Full time

Job summary

Orthopedic Specialists of SW Florida in Fort Myers, FL is seeking an Insurance Verifications Representative to oversee patient authorizations, insurance verifications, and eligibility checks to ensure timely access to services.

The role requires strong communication, medical terminology knowledge, and careful documentation of benefits and out-of-pocket costs, with a focus on accuracy and HIPAA compliance.

Qualifications

• Minimum of 2 years insurance and benefit experience.
• Knowledge of medical insurance and billing.
• Ability to document accounts clearly.
• Strong organizational skills.

Responsibilities

• Receive patient information, calls or accesses website resources in respect to carrier documentation.
• Obtain insurance verifications and authorizations from insurance companies via telephone, facsimile or online program.
• Obtain and coordinate required patient referrals and insurance authorizations to support timely access to services.
• Document eligibility and benefit information on insurance verification form.
• Scan authorization and verification of patient’s eligibility and benefits.
• Communicate with patients regarding their out-of-pocket expenses for large deductibles, limited benefit plans and out-of-network benefits.
• Facilitate payment arrangements when necessary.
• Communicate with appropriate staff members regarding problems relating to patient’s eligibility and benefits.
• Document all necessary patient information and notes in computer system.

Skills

Insurance knowledge

Medical terminology

Documentation

Phone etiquette

Education

High School diploma or GED

Tools

Microsoft Office

Job description

Orthopedic Specialists of SW Florida in Fort Myers, FL is seeking an Insurance Verifications Representative to oversee patient authorizations, insurance verifications, and eligibility checks to ensure timely access to services.

The role requires strong communication, medical terminology knowledge, and careful documentation of benefits and out-of-pocket costs, with a focus on accuracy and HIPAA compliance.