Insurance Representative

Ascension • Jacksonville, FL

3d • $18 - $25 • Remote

About The Position

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.

Requirements

• High school diploma or equivalent required.
• 1+ years related experience required.

Nice To Haves

• Insurance & Authorization Expertise with 2+ years of hands-on experience navigating medical insurance benefits, payer portals, prior authorizations, clinical documentation, and medical terminology.
• Critical Thinking & Autonomy skills including strong critical thinking skills, decisive judgment, and the proven ability to manage high-stress situations with minimal supervision.

Responsibilities

• Secure Prior Authorizations & Coverage: Verify patient eligibility through online payer portals, evaluate medical necessity requirements, and obtain necessary pre-authorizations for provider-ordered procedures and services.
• Coordinate In-Network Referrals & Scheduling: Schedule patient appointments within required clinical timeframes while ensuring all referrals strictly align with payer matrices and preferred network guidelines.
• Navigate Managed Care & Payer Policies: Stay current on evolving insurance regulations, portal updates, and referral procedures to accurately assess financial responsibility and prevent coverage gaps.
• Advocate & Communicate Clear Coverage Details: Actively update patients, clinical providers, and insurance reps on authorization statuses, proactively resolving barriers to care or notifying parties if a service is denied.
• Maintain Accurate EMR Documentation: Log comprehensive, audit-ready details into the patient’s electronic medical record (EMR), including authorization numbers, coverage limits, restrictions, and appointment notes.

Benefits

• Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
• Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
• Time to recharge: pro-rated paid time off (PTO) and holidays
• Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
• Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
• Family support: parental leave, adoption assistance and family benefits
• Other benefits: optional legal and pet insurance, transportation savings and more

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED