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Insurance Eligibility Verification Jobs in Florida

adcs

Insurance Verification - Maitland, FL

Maitland, FL · 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 ...

adcs

Insurance Verification - Maitland, FL

Maitland, FL

$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 ...

Care Resource

INSURANCE VERIFICATION REPRESENTATIVE

Miami, FL · 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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Insurance Eligibility Verification information

What is an insurance eligibility verification?

An Insurance Eligibility Verification job involves reviewing and confirming a patient's insurance coverage and benefits before medical services are provided. Responsibilities include contacting insurance companies, verifying policy details, checking co-pays, deductibles, and coverage limits, and updating patient records accordingly. This role helps prevent billing issues and ensures healthcare providers receive proper reimbursement. Strong attention to detail, communication skills, and knowledge of insurance policies are essential for success in this position.

What are the key skills and qualifications needed for insurance eligibility verification?

Strong attention to detail, knowledge of insurance policies and terminology, and experience in healthcare or insurance administration are core requirements for an Insurance Eligibility Verification role. Familiarity with insurance verification software, electronic health records (EHR) systems, and payor portals is often needed, while certifications such as Certified Revenue Cycle Representative (CRCR) can be beneficial. Exceptional communication, organizational skills, and the ability to problem-solve under time constraints will help someone excel in this position. Mastery of these skills ensures accurate benefit verification, timely patient care, and efficient interaction with both patients and insurance providers.

What are some typical challenges faced in an insurance eligibility verification role?

One common challenge in Insurance Eligibility Verification is navigating the complexities of various insurance plans and keeping up with frequent policy changes. The role often requires resolving discrepancies between patient information and insurance records, which can involve significant research and communication with both patients and insurers. Additionally, working under tight deadlines to confirm eligibility before scheduled procedures is a frequent aspect of the job. However, mastering these challenges can build valuable expertise and open up further advancement opportunities in healthcare administration or revenue cycle management.

What are the most commonly searched types of Insurance Eligibility Verification jobs in Florida?

The most popular types of Insurance Eligibility Verification jobs in Florida are:

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

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

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

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

Insurance Eligibility Verification jobs near you
Infographic showing various Insurance Eligibility Verification job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, and 4% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution.

Insurance Verification Coordinator

Jax Spine & Pain Centers

Jacksonville, FL • On-site

$15.75 - $19.50/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 25 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.