Insurance Verification Specialist

About the role

Florida Spine Associates is a premier, multidisciplinary spine specialty private practice specializing in world-class Orthopedic Spine surgery, Interventional Pain Management, and dedicated Physical Therapy. With regional clinics spanning South Florida—including Boca Raton, Boynton Beach, Delray, West Palm Beach, and Fort Lauderdale—our elite team of Board-Certified, fellowship-trained physicians is dedicated to restoring our patients' quality of life using cutting-edge, innovative technologies.

Unlike facility and corporate hospital networks, Florida Spine Associates operates on an agile, independent private practice model, offering deeply personalized, compassionate patient care and clinical autonomy. You will be a highly valued member of a tight-knit medical team, working in a supportive space where your voice is heard, communication is seamless, and your contributions directly shape our standard of excellence. Experience dedicated growth, team collaboration, work schedules that promote an efficient work/life balance, and an atmosphere where your opinions and suggestions are valued.

Responsibilities

• Verify patients' insurance coverage by obtaining and validating insurance details such as policy numbers, coverage limits, effective dates, and any applicable co-pays or deductibles.
• Communicate with patients to collect necessary insurance information, explain coverage details, and address any queries or concerns related to insurance verification.
• Maintain accurate records of verified insurance information, authorizations, and any communication with insurance companies or patients in electronic health records (EHR) or practice management systems.
• Collaborate with healthcare providers, medical billing staff, and other relevant personnel to ensure accurate billing and proper documentation of insurance information.
• Obtain authorization or pre-certification requirements from insurance companies as required for specific medical procedures, tests, or services.
• Investigate and resolve insurance-related issues, including denied claims, coverage discrepancies, or other billing challenges by liaising with insurance representatives or the billing department.
• Stay informed about changes in insurance policies, regulations, and procedures to ensure compliance and accurate verification of insurance coverage.

Requirements

• Previous experience in healthcare administration, medical billing, or insurance verification preferred.
• Proficiency in using healthcare software, EHR systems, and insurance verification tools.
• Strong attention to detail and accuracy in verifying insurance information.
• Excellent communication and interpersonal skills for interacting with patients, insurance companies, and healthcare professionals.
• Ability to multitask, prioritize tasks, and work efficiently in a fast-paced environment.
• Knowledge of medical terminology, coding, and insurance billing practices is advantageous.