Start searching
Back to Jobs
Recently postedRemoteOther

Insurance Representative

AscensionJacksonville🇺🇸United States

Quick overview

SeniorityMid Senior
Work modeRemote
LocationJacksonville, United States
ComplianceEMRScheduling

Job description

  • Location: Jacksonville, FL
  • Facility: Ascension St. Vincent's Health System
  • Schedule: Days | Part-time
  • Verify patient insurance eligibility via payer portals, determine pre-authorization requirements, and obtain necessary approvals for provider-ordered services.
  • Process and track in-network referrals, ensuring timely scheduling of appointments in compliance with specific payer requirements.
  • Stay up to date on managed care guidelines, payer portals, and referral protocols to accurately determine patient financial responsibility.
  • Liaise between patients, clinical providers, and insurance payers to resolve coverage discrepancies and address barriers to care.
  • Maintain comprehensive records in the EMR regarding authorization statuses and restrictions, promptly alerting providers and patients of any coverage denials.
Licensure / Certification / Registration
  • Required Credential(s):
    • None Required.
Education
  • High school diploma or equivalent required.
Work Experience
  • 2+ years prior authorization experience required.

Similar jobs

Apply on employer’s website