Medical Insurance Specialist

3 weeks ago


Jacksonville, Florida, United States Nemours Children\'s Health Full time

Nemours Children's Health Jacksonville is seeking a highly skilled Medical Insurance Specialist to join their team. This role is responsible for verifying insurance eligibility and benefits, obtaining authorizations for office visits and procedures, and communicating with clinical teams and patient families.

The ideal candidate will possess excellent customer service skills, be able to work independently, and have experience dealing with insurance companies and verification processes. They will also be responsible for building and maintaining relationships, communicating effectively, offering meaningful advice and support, and ensuring continuous improvement.

Key Responsibilities:

  • Verify insurance eligibility and obtain referrals/authorizations for office visits and procedures
  • Communicate with assigned clinical teams and patient families about unattainable or delayed insurance referrals/authorizations
  • Monitor voice mail and return calls as appropriate for the main HMO phone line
  • Process encounters via the DAG work queue daily
  • Perform all other duties as assigned by supervisor or manager

Requirements:

  • HS Diploma or equivalent required
  • One year of specialized training beyond HS required
  • Customer service and HC experience preferred
  • One to three years' experience in medical offices/call center/referral/authorization experience
  • EPIC and prior psychology/neuro-psychology authorization/referral experience preferred

Estimated Salary: $45,000 - $65,000 per year, based on experience and location. This salary range is estimated and may vary based on individual qualifications and company factors.

Nemours Children's Health is a leading healthcare provider in the region, and this role offers a unique opportunity to make a difference in the lives of children and families. If you are a motivated and detail-oriented individual with a passion for customer service, we encourage you to apply for this exciting opportunity.



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