What are the responsibilities and job description for the Insurance Verification Specialist-Contact Center position at Community Health Northwest Florida?
Job Purpose
The Insurance Verification Specialist is a key member of the Revenue Cycle team responsible for ensuring that patients meet all financial and insurance requirements before receiving care. This role verifies insurance eligibility, secures pre-authorizations, and calculates patient financial responsibility. The specialist also supports patient communication, scheduling needs, and helps ensure smooth billing processes and improved point-of-service collections.
Key Responsibilities
Verify insurance eligibility and benefits through electronic systems and carrier communication
Obtain required pre-certifications and authorizations
Calculate and communicate co-pays, deductibles, and out-of-pocket estimates
Support patients, providers, and administrative teams with scheduling, inquiries, and updates
Accurately enter and update information in the Electronic Health Record (EHR)
Assist with incoming calls, routing, telephone encounters, and patient instructions
Collaborate with billing, clinical teams, and insurance companies to resolve discrepancies
Follow all CHNWF policies, HIPAA requirements, and Standard Operating Procedures
Minimum Requirements
Knowledge of healthcare billing, insurance, and patient access processes
Familiarity with medical terminology and Medicare/Medicaid
High School Diploma or GED
Strong communication, organizational, and time management skills
Customer service–oriented with strong attention to detail
Ability to work in a fast-paced, high-pressure environment
Proficient in EHR systems
Preferred Qualifications
2 years of insurance verification and eligibility experience
1 year in a call center environment
Experience in a multi-specialty practice or FQHC