Insurance Representative

Location: Jacksonville, FL • Facility: Ascension St. Vincent's Riverside DePaul Building • Full-Time

About the role

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care, and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.

Responsibilities

• Confirm patient coverage via payer portals, determine pre-authorization necessity, and obtain required authorizations and referrals for provider-ordered services.
• Schedule appointments within mandated timeframes while ensuring referrals comply with network and payer requirements.
• Stay up to date on referral policies, managed care matrixes, and payer guidelines to accurately determine financial responsibility for services.
• Serve as the primary liaison between patients, healthcare providers, and third-party payers to resolve coverage barriers and communicate authorization denials.
• Log detailed updates in patient medical records regarding authorization statuses, coverage restrictions, action steps, and appointment details.

Requirements

• High school diploma or equivalent required.
• 2+ years prior authorization experience required.

Benefits

• Comprehensive health coverage: medical, dental, vision, prescription coverage, and HSA/FSA options.
• Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance.
• Time to recharge: pro-rated paid time off (PTO) and holidays.
• Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development, and online learning.
• Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care, and stress management resources.
• Family support: parental leave, adoption assistance, and family benefits.
• Other benefits: optional legal and pet insurance, transportation savings, and more.