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, we encourage you to apply.
Numbers & Facts
Location
Jacksonville, Florida
Skills
Calendar Managementunmatched
Co-Paymentsunmatched
Current Procedural Terminology (CPT)unmatched
Customer Relationsunmatched
Customer Support/Serviceunmatched
Dental Insuranceunmatched
Detail Orientedunmatched
Documentationunmatched
Electronic Medical Recordsunmatched
Establish Prioritiesunmatched
Financial Managementunmatched
Governmentunmatched
HIPAA (Health Insurance Portability and Accountability Act)unmatched
Healthcareunmatched
High School Diplomaunmatched
ICD-10unmatched
Insuranceunmatched
Insurance Regulationsunmatched
JAX (Java API for XML)unmatched
Maintain Complianceunmatched
Managed Careunmatched
Medicaidunmatched
Medical Terminologyunmatched
Medicareunmatched
Microsoft Officeunmatched
Multitaskingunmatched
Organizational Skillsunmatched
Orthopedicsunmatched
Pain Managementunmatched
Patient Careunmatched
Patient Confidentialityunmatched
Presentation/Verbal Skillsunmatched
Problem Solving Skillsunmatched
Reimbursementunmatched
Team Playerunmatched
Vision Planunmatched
Worker's Compensationunmatched
Writing Skillsunmatched
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