Insurance Verification Coordinator

• Verify insurance eligibility and benefits for all new and existing patients prior to scheduled appointments, procedures, and treatments
• Conduct thorough benefit investigations for commercial, government, workers’ compensation, and personal injury insurance plans
• Obtain and document detailed information regarding patient coverage, including deductibles, co-pays, co-insurance, out-of-pocket maximums, and coverage limitations specific to pain management services
• Identify whether services require prior authorization, pre-certification, or referrals and initiate requests accordingly
• Contact insurance carriers and/or utilize payer portals to confirm coverage for procedures such as spinal injections, nerve blocks, diagnostic imaging, durable medical equipment (DME), and other interventional treatments
• Accurately calculate and communicate expected patient financial responsibility to patients prior to services, including any up-front payment requirements
• Collaborate with front office staff to ensure patients are informed of their benefits and financial obligations at the time of scheduling or check-in
• Maintain up-to-date records in the EMR system, including benefit summaries, authorization statuses, and documentation of all communication with insurance companies
• Monitor authorization expirations and service limits to ensure continued coverage
• Assist with resolving discrepancies related to patient billing, denied claims, or incorrect benefit applications by providing supporting documentation or benefit verification records
• Maintain a strong working knowledge of evolving payer policies, medical necessity criteria, and coding updates relevant to pain management procedures
• Ensure all processes comply with HIPAA regulations and internal policies regarding patient privacy and data security
• Support billing and front office teams with insurance-related tasks and participate in cross-training efforts as needed
• Practices and adheres to the “Code of Conduct” philosophy and “Mission and Value Statement”.
• Other duties as assigned based on business operational needs.

ABOUT OUR PRACTICEWe are proud to be the leading providers of progressive interventional pain relief.Our team of board-certified physicians and medical staff are highly trained in all areas of diagnosis, treatment, and patient care.LOOKING FOR A CAREER IN THE MEDICAL FIELD?Apply today and have the potential to join Northeast Florida’s Leading Interventional Pain Management Specialists. At Jax Spine & Pain Centers, we provide our patients with superior solutions to treat acute and chronic pain.Now serving multiple locations, our board certified physician’s along with our professional staff value hands-on compassionate care, from the consultation through treatment. Please see the list below for our current openings. We seek qualified, highly energized and self-motivated individuals who respect the essence of time and appreciate the value of a smile.We are always accepting resumes for the following positions:Medical assistantsDME techniciansMedical billing/AR specialistsCall center customer service representatives.