Medical Insurance Coordinator

Nmble LLC; Tampa (FL); Vor Ort; USD 42.000 - 64.000; Vollzeit

Benefits dieser Stelle

PTO starting day one

Flexible schedule

Supportive team

Zusammenfassung

Nmble LLC in Central Florida seeks an Insurance Coordinator to secure prior authorizations and manage benefits verification, ensuring procedures are covered before they occur. You will work with the clinical team and handle inquiries with empathy.

Ideal candidates have 2+ years in a physician-practice setting, solid CPT/ICD-10 knowledge, and a calm, organized approach to time-sensitive requests. Epic EMR experience is a plus.

Qualifikationen

• 2+ years of insurance authorization or verification experience in a physician practice, specialty clinic or surgical setting.
• Working knowledge of CPT and ICD-10 coding and payer authorization requirements.
• Comfort managing a high volume of time-sensitive requests with little supervision.
• Clear, professional verbal and written communication.

Aufgaben

• Obtain prior authorizations for procedures across commercial, Medicare and Medicaid plans.
• Verify eligibility and explain coverage and patient responsibility in plain terms.
• Review CPT and ICD-10 codes against payer requirements before submission.
• Track payer rules, medical-necessity criteria and documentation requirements.
• Follow up on pending and denied authorizations, including appeals.

Kenntnisse

Insurance authorization

CPT/ICD-10 knowledge

High-volume handling

Communication

Ausbildung

CPC/CPB/CRCS or similar certification

Tools

Epic EMR

Jobbeschreibung

Our client is an established, multi-location specialty medical practice in Central Florida. The team is experienced and supportive, and the culture centers on working together for the patient. Leadership is flexible about life outside work, and managers pitch in to cover when someone is out.

About the role

The Insurance Coordinator makes sure every patient's procedure is covered before it happens. You'll own prior authorizations from start to finish, from verifying benefits to getting the approval back to the clinical team. The role is self-directed, but you'll brainstorm with the insurance team when a case gets complicated. It's fast-paced: physicians send quick requests, and patients need clear answers.

What you'll do

• Obtain prior authorizations for procedures, imaging and treatment across commercial, Medicare and Medicaid plans
• Verify eligibility and benefits, and explain coverage and patient responsibility in plain terms
• Review and confirm CPT and ICD-10 codes against payer requirements before submission
• Track each payer's rules, medical-necessity criteria and documentation requirements
• Follow up on pending and denied authorizations, including peer-to-peer requests and appeals
• Respond quickly to physician and clinic requests to keep procedure schedules on track
• Communicate with patients by phone and in person with professionalism and empathy
• Partner with front desk, clinical and billing staff to move each patient through their care

What you'll bring

• 2+ years of insurance authorization or verification experience in a physician practice, specialty clinic or surgical setting
• Working knowledge of CPT and ICD-10 coding and payer authorization requirements
• Comfort managing a high volume of time-sensitive requests with little supervision
• Clear, professional verbal and written communication
• A team-first attitude: you solve problems on your own but ask for ideas when it helps the patient

Nice to have

• Experience in a surgical or procedural specialty practice
• Epic EMR experience
• Coding or reimbursement certification (CPC, CPB, CRCS or similar)

Why you'll like it here

• Experienced, supportive team
• PTO that starts accruing on day one (usable after 90 days)
• Flexibility for family and life, with managers who help cover
• A practice-setting pace without hospital bureaucracy