Insurance Representative
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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.
- Required Credential(s):
- None Required.
- High school diploma or equivalent required.
- 2+ years prior authorization experience required.