Insurance Verification Coordinator

Jax Spine & Pain Centers•Jacksonville, FL

About The Position

Jax Spine and Pain Center is seeking a detail-oriented, customer-focused Insurance Verification Coordinator to join its Revenue Cycle team. The role verifies patients’ insurance eligibility, benefits, referrals, and authorization requirements before appointments and procedures. The coordinator helps provide a seamless patient experience while minimizing reimbursement delays by communicating coverage and financial responsibility, resolving insurance issues, and maintaining accurate records and documentation. The role requires knowledge of insurance plans and payer requirements, strong organization and communication skills, and a commitment to patient confidentiality and HIPAA compliance.

Requirements

High school diploma or equivalent required; an associate degree is preferred.
Minimum of one 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.

Nice To Haves

Associate degree.
Experience verifying commercial, Medicare, Medicaid, Workers’ Compensation, and managed care insurance plans.
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.

Responsibilities

Verify patient insurance eligibility, benefits, coverage, and plan limitations before 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 in the electronic medical record (EMR).
Communicate insurance coverage and financial responsibility to patients professionally and compassionately.
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.