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Spectraforce Technologies
Insurance Verification Coordinator I
Career Insights for Eligibility Specialist
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What they do
An Eligibility Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. May assist eligible applicants with enrolling in a program.
$44,207 / year median in the U.S.
+17% projected growth
Job Description
Insurance Verification Coordinator I Spectraforce Technologies United States, Florida, Jacksonville 13141 City Station Drive (Show on map) Aug 25, 2026
Title:
Insurance Verification Coordinator I Duartion:
3 Months with possible extension/conversionWork Arrangement:
Remote Responsibilities:
- Obtain and verify insurance eligibility for services provided and document complete information in system
- Perform prior authorizations as required by payor source, including procurement of needed documentation by collaborating with physician offices and insurance companies
- Collect any clinical information such as lab values, diagnosis codes, etc.
- Determine patient's financial responsibilities as stated by insurance
- Configure coordination of benefits information on every referral
- Ensure assignment of benefits are obtained and on file for Medicare claims
- Bill insurance companies for therapies provided
- Document all pertinent communication with patient, physician, insurance company as it may relate to collection procedures
- Identify and coordinate patient resources as it pertains to reimbursement, such as copay cards, third party assistance programs, and manufacturer assistance programs
- Handle inbound calls from patients, physician offices, and/or insurance companies
- Resolve claim rejections for eligibility, coverage, and other issues Insurance verification for medication; prior authorization appeals; speak to patients, doctors' offices, & insurance plans Inbound internal que 25 referrals/more a day 95% quality or higher Attendance is crucial Candidate Requirements Education/Certification