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Contract Insurance Eligibility Verification Jobs in Florida

Key Responsibilities: -Verify patient insurance eligibility and benefits for office visits, procedures, surgeries, pathology, and other dermatology services. -Determine patient financial ...

Insurance Verification - Maitland, FL

Maitland, FL ยท On-site

$15.75 - $19.50/hr

Key Responsibilities: -Verify patient insurance eligibility and benefits for office visits, procedures, surgeries, pathology, and other dermatology services. -Determine patient financial ...

INSURANCE VERIFICATION REPRESENTATIVE

Miami, FL ยท On-site

$16.50 - $21/hr

JOB SUMMARY The Insurance Verification Representative (IVR) is responsible for assisting all Client Service Specialists in processing insurance eligibility for all Care Resource patients, including ...

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Contract Insurance Eligibility Verification information

What is the difference between Contract Insurance Eligibility Verification vs Insurance Verification Specialist?

AspectContract Insurance Eligibility VerificationInsurance Verification Specialist
CredentialsTypically requires insurance or healthcare-related certificationsOften requires similar certifications, such as medical billing or coding
Work EnvironmentHealthcare facilities, insurance companies, or third-party billing servicesHospitals, clinics, or insurance providers
Employer & IndustryHealthcare industry, insurance companies, third-party administratorsHealthcare providers, insurance companies
Search & Comparison IntentUnderstanding specific contract verification processes vs general insurance verification

Contract Insurance Eligibility Verification focuses on verifying patient coverage based on contractual agreements, often involving detailed contract terms. Insurance Verification Specialist handles broader insurance coverage checks, including eligibility, benefits, and pre-authorizations. Both roles require similar certifications and work in healthcare settings, but Contract Insurance Eligibility Verification emphasizes contractual details, while Insurance Verification Specialists focus on general insurance coverage.

What are popular job titles related to Contract Insurance Eligibility Verification jobs in Florida?

For Contract Insurance Eligibility Verification jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Contract Insurance Eligibility Verification jobs in Florida look for?

The top searched job categories for Contract Insurance Eligibility Verification jobs in Florida are:

What cities in Florida are hiring for Contract Insurance Eligibility Verification jobs?

Cities in Florida with the most Contract Insurance Eligibility Verification job openings:

Insurance Verification Coordinator

Jax Spine & Pain Centers

Jacksonville, FL โ€ข On-site

$15.75 - $19.50/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 22 days ago


Job description

Position Summary:
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.