Insurance Eligibility/Verification Specialist II

University of Central Florida • Orlando, FL

1d • $18 - $20 • Onsite

About The Position

Student Health Services - Insurance: UCF Health - Student Health Services (SHS) provides various primary and specialty care services to help keep students, faculty and staff at their optimum health. The Health Center is located on the Main Campus. Our services are designed with students, faculty and staff needs in mind. Become a part of our committed UCF Student Health Team as an Insurance Eligibility/Verification Specialist II and deliver outstanding care to our community. The Opportunity : Join the University of Central Florida (UCF) Academic Health Sciences Center (AHSC) Student Health Team as an Insurance Eligibility/Verification Specialist II in the Business Office’s Insurance Unit and contribute to our dedication to providing excellent healthcare to the community we serve. The Insurance Eligibility/Verification Specialist II serves as the team lead for the Insurance Department and provides services related to insurance verification, eligibility, and associated medical support functions. This role also provides various administrative and office support functions for a clinical operation and is responsible for overseeing student employees and daily department reports. The position maintains confidentiality of Protected Health Information (PHI)

Requirements

• High School Diploma or Equivalent and 4+ years of relevant experience, or an equivalent combination of education and experience pursuant to Fla. Stat. 112.219(6) .

Nice To Haves

• Experience working in a medical office environment.
• Advanced proficiency with Electronic Medical Records (EMR) systems, ensuring data accuracy and integrity.
• Background in insurance verification processes.
• Team Lead experience, including training student employees and managing workflows.
• Ability to clearly communicate and translate complex medical and insurance processes into understandable, patient-facing information.
• Proficient in medical technology, medical procedures, and insurance concepts.

Responsibilities

• Team lead for Insurance department including daily oversight of all department activities.
• Verify, interpret, and analyze insurance eligibility coverage to maintain patients accounts and schedule appointments.
• Determine deductibles, co-payments, and co-insurance for patients in participating plans.
• Transfer charges from patient’s EHR to SHS Business office, who will submit the claim(s) to the participating insurance company.
• Update accounts with active insurance, contact patients for essential information, and verify demographic data.
• Print router slips (as necessary) to prepare for the following day’s appointments.
• Collect payments, Student Health Fees, co-payments, and past due balances.
• Perform applicable system searches to determine student status.
• Create and manage staffing schedules, verify and approve time cards, train and performance reviews for the student employees.
• Run daily insurance eligibility reports.
• Troubleshoot department issues.
• Maintain insurance database in the EHR system.
• Create department materials/supplements.
• Develop and revise department policies and procedures.
• Provide CPT code support and pricing to providers, nursing staff and patients as needed.
• Maintain an active list of in-network insurance plans for the Business Office.
• Confirm patient’s medical insurance coverage to arrange for other services as needed within the assigned specialty Pod (e.g. laboratory, primary care, OB/GYN) with participating plans.
• Answer telephone calls, and greet patients.
• Direct individuals to the appropriate building location.
• Schedule appointments and/or follow-ups only within in the assigned specialty Pod.
• Check-in and check-out patients for medical visits.
• Assists with referrals, be a liaison between the participating plan provider and the patient.

Benefits

• Benefit packages, including Medical, Dental, Vision, Life Insurance, Flexible Spending, and Employee Assistance Program
• Paid time off, including annual and sick time off and paid holidays
• Retirement savings options
• Employee discounts, including tickets to many Orlando attractions
• Education assistance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees