Insurance Representative

Your Future Role At A GlanceLocation: Jacksonville, FL - OffsiteFacility: RemoteSchedule: Full-time | Rotating shifts between the hours of 8am - 6pm | Monday - FridaySalary: $18.31 - $24.77 per hourLife At Ascension: Where Purpose Meets OpportunityAscension 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.Benefits That Help You ThriveComprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA optionsFinancial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insuranceTime to recharge: pro-rated paid time off (PTO) and holidaysCareer growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learningEmotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resourcesFamily support: parental leave, adoption assistance and family benefitsOther benefits: optional legal and pet insurance, transportation savings and moreHow You'll Make An Impact In This RoleSecure Prior Authorizations & Coverage: Verify patient eligibility through online payer portals, evaluate medical necessity requirements, and obtain necessary pre-authorizations for provider-ordered procedures and services.Coordinate In-Network Referrals & Scheduling: Schedule patient appointments within required clinical timeframes while ensuring all referrals strictly align with payer matrices and preferred network guidelines.Navigate Managed Care & Payer Policies: Stay current on evolving insurance regulations, portal updates, and referral procedures to accurately assess financial responsibility and prevent coverage gaps.Advocate & Communicate Clear Coverage Details: Actively update patients, clinical providers, and insurance reps on authorization statuses, proactively resolving barriers to care or notifying parties if a service is denied.Maintain Accurate EMR Documentation: Log comprehensive, audit-ready details into the patient's electronic medical record (EMR), including authorization numbers, coverage limits, restrictions, and appointment notes.What Minimum Requirements You'll NeedEducation:High school diploma or equivalent required.Work Experience:1+ years related experience required.What Additional Preferences We're SeekingInsurance & Authorization Expertise with 2+ years of hands-on experience navigating medical insurance benefits, payer portals, prior authorizations, clinical documentation, and medical terminology.Critical Thinking & Autonomy skills including strong critical thinking skills, decisive judgment, and the proven ability to manage high-stress situations with minimal supervision.Equal employment opportunity employerAscension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.Fraud prevention noticeProspective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.E-Verify statementEmployer participates in the Electronic Employment Verification Program. Please click here for more information.