Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center is the leading destination for world-class health care in Palm Beach County and the greater Treasure Coast. Outstanding physicians, state-of-the-art facilities, innovative techniques and a commitment to serving the community enables Jupiter Medical Center to meet a broad range of patient needs.

Jupiter Medical

Center is the only hospital in Palm Beach, Martin, St. Lucie and Indian River counties to receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS).

Education ~ High school graduate or equivalent Experience/Qualifications ~ BLS certification through the American Heart Association for Healthcare Providers. ~ Enthusiastic, friendly, patient focused customer service skills. ~ Exemplary communication skills, written and verbal – must be comfortable speaking to patients via phone and successfully communicate pertinent information. ~ Professional, effective communication skills required to contact insurance companies to obtain insurance authorizations and physician offices for additional information, as necessary. ~ Capacity to multi-task with computer programs while providing patients the highest level of care and attention. ~ Works well in a team environment to accomplish common tasks to solve problems and enhance the smooth and efficient flow of the department. ~ Ability to leverage insurance company sites, where possible, to expedite, authorization process. ~ Minimum of 2 year’s experience with medical group insurance plans including Medicare, Medicaid, HMO’s and PPO’s. ~ Excellent typing and computer skills. ~ Epic experience preferred ~ Pain management authoriztion experience preferred ~ Ability to self-direct and exercise independent judgment in situations requiring follow-up and discussions with clinical staff and/or other areas of Patient Access to ensure completion of required authorizations/approvals for payment services and enhanced customer service.



~2-3 years of specialized training in a health care setting with demonstrated knowledge of insurance verification, authorization and pre-certification process preferred. ~ Familiarty with medical terminology.

Position Summary The Insurance Authorization Specialist will be responsible for delivering a dynamic customer experience to all customers and demonstrate a strong commitment to service excellence.

The Insurance Authorization

Specialist is responsible for verifying health insurance information and obtaining authorizations, pre-certifications, and/or referrals for inpatient, observation, and scheduled outpatient elective services. Utilizes electronic scheduling/registration/financial systems, payer’s websites, and recorded calls to validate health coverage and benefits in processing approval for medical services. Maintains proper documentation in all systems.

Works closely with Managed Care and understands health insurances rule sets, manuals, and contract language. Contact patient’s insurance company to verify coverage, initiate authorizations, provide clinical documentation and follow up on previously submitted prior authorizations. Process authorizations electronically, utilizing payer portals, fax, or telephone working with the payers to secure authorizations.

Determines medical necessity for services using medical criteria software. Review and verify all insurance plans and confirm patient’s eligibility and benefits. Provides documentation upon request from insurance companies.





Works well in a team environment to accomplish common tasks to solve problems and enhance the smooth and efficient flow of the practice. Answers telephone, responds to questions, directs calls, and documents messages. Develops and promotes the use of effective methods of communicating with physicians, managers, peers, trainees, and staff on a regular basis.

Obtain authorization renewals, verify physician written orders are active, and certification of medical necessity and or detailed written order is in place. Can relate to all kinds of people regardless of background; find topics and common interests that can be used to build rapport with others. Provides guidance and feedback to help others strengthen knowledge/skills needed to accomplish tasks, solve problems, and perform effectively within the team.

Work well with others, build consensus, and ensure cooperation to complete tasks and positive workflow. Supports people in their efforts to try new things. Things creatively, generates novel and valuable ideas and uses these ideas to develop new or improved processes.

Accepts new ways of doing things and adapts to change. Demonstrates an open-minded approach to understanding people regardless of their gender, age, race, national origin, religion, ethnicity, disability status, or other characteristics. encourages and promotespractices that support cultural diversity; Must have manual dexterity for typing and computer data entry.

Annual Joint

Commission mandatory education requirements, in-service and health requirements including attendance at new employee orientation. Maintenance of required professional licensing and/or certification(s). While this is intended to be an accurate reflection of the current job, management reserves the right to revise the job or require that other or different tasks be performed when circumstances change.

I have reviewed these job requirements and verify that I can perform all essential functions of this position. #

📌 Insurance Authorization Specialist - Full Time - Days (Milano)
🏢 Jupiter Medical Center
📍 Milano