Insurance Claims Specialist | Patient Financial Services

UF HealthSt. Augustine, FL
Hybrid

About The Position

Support claims resolution and customer service excellence while working alongside a collaborative onsite revenue cycle team. This role supports daily insurance follow-up operations through payer correspondence coordination, claim documentation review, Epic account updates, and accurate claim processing and routing. The ideal candidate is detail-oriented, analytical, organized, and thrives in a fast-paced healthcare environment with a strong focus on accuracy and service.

Requirements

  • High School Diploma or equivalent required
  • Minimum of six (6) months of billing experience within a hospital or physician practice setting, or one (1) year of experience in a business environment involving finance, accounting, or insurance portal systems
  • Epic experience required
  • Familiarity using computerized insurance billing systems and Microsoft Office applications
  • Strong communication, organizational, analytical, and problem-solving skills with the ability to work independently in a fast-paced environment
  • Above-average math aptitude with strong attention to detail and accuracy
  • Ability to interact professionally with patients, insurance payers, and internal team members while maintaining excellent customer service
  • Demonstrated ability to manage multiple priorities, maintain workflow efficiency, and support accurate claims processing operations

Nice To Haves

  • Experience verifying patient insurance eligibility and working with commercial and government payers, including BCBS, Medicare, Medicaid, and third-party insurance carriers

Responsibilities

  • Manage incoming insurance payer correspondence, ensuring documentation is accurately reviewed, sorted, and prepared for scanning
  • Coordinate outgoing mail and fax communications to patients and insurance payers in support of Insurance Claims Specialists
  • Review and evaluate paper claims to ensure proper handling, routing, and processing accuracy
  • Maintain accurate account documentation and correspondence updates within Epic
  • Analyze high volumes of payer and demographic information to identify discrepancies, trends, and needed account updates
  • Support revenue cycle operations through strong attention to detail, organization, and process accuracy
  • Collaborate with team members to ensure timely, efficient, and customer-focused workflow support across the department
  • Assist with maintaining operational consistency and compliance within daily claims processing activities
  • Support accurate claim resolution and communication workflows in a fast-paced healthcare environment
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