RCM Insurance Coordinator

National Spine & Pain Centers • Miami, FL

4d • Remote

About The Position

The RCM Insurance Coordinator plays a vital role in patient access and revenue
cycle processes by ensuring all necessary financial and insurance-related
clearances are obtained prior to scheduled medical services. Responsibilities
include verifying patient insurance eligibility, obtaining referrals, generating
out-of-pocket cost estimates, and communicating with patients and payers to
prevent delays in care. This role supports operational efficiency, compliance
with payer guidelines, and a seamless patient experience across National Spine &
Pain Centers (NSPC).

This job description is a summary of the primary duties and responsibilities of
the position.
It is not intended to be a comprehensive listing of all duties and
responsibilities. Contents are
subject to change at management's discretion

Requirements

• High school diploma or equivalent required; Associate’s degree preferred.
• 1 year experience in eligibility and benefits review or related healthcare administration required; experience in pain management, orthopedics, neurology, or radiology preferred
• Understanding of commercial insurance plans (HMO, PPO, POS, EPO) including eligibility, benefits, and prior authorizations.
• Knowledge of government payers including Medicare (Parts A–D, Medigap), Medicaid (state-specific programs, MCOs), and Workers’ Compensation.
• Familiarity with CPT, ICD-10 codes, and medical terminology preferred.
• Strong verbal and written communication skills.
• Excellent attention to detail and organizational abilities.
• Ability to manage high volumes in a fast-paced environment.
• Proficiency with Microsoft Office Suite (Word, Excel, Outlook) and payer portals for eligibility and benefits verification.

Nice To Haves

• Associate’s degree preferred.
• experience in pain management, orthopedics, neurology, or radiology preferred
• Familiarity with CPT, ICD-10 codes, and medical terminology preferred.

Responsibilities

• Verify patient insurance eligibility and benefits for scheduled services (inpatient, outpatient, diagnostic, and surgical).
• Obtain and document referrals from insurance carriers in accordance with payer requirements.
• Generate and communicate accurate patient cost estimates.
• Contact patients to review insurance benefits, financial responsibility, and available payment options.
• Collaborate with scheduling and clinical teams to resolve clearance issues (e.g., missing referrals, incorrect coverage).
• Maintain timely and accurate documentation in EMR and patient access systems.
• Monitor payer requirements to ensure compliance with organizational and regulatory guidelines.
• Escalate complex insurance or clearance issues as appropriate.
• Partner with financial counseling and billing teams to ensure a smooth patient experience.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 251-500 employees