Insurance Representative

Your future role at a glance

Location: Jacksonville, FL

Facility: Ascension St. Vincent's Riverside DePaul Building

Schedule: Full-Time

Life at Ascension: Where purpose meets opportunity

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.

Benefits that help you thrive

• 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

How you'll make an impact in this role

• 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.

What minimum requirements you'll need

Education:

• High school diploma OR equivalent required.

Work Experience:

• 2+ years prior authorization experience required.

Equal employment opportunity employer


Ascension 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 notice


Prospective 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 statement


Employer participates in the Electronic Employment Verification Program. Please click here for more information.

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.

Qualifications

Education:

• High school diploma OR equivalent required.

Work Experience:

• 2+ years prior authorization experience required.