Insurance Eligibility/Verification Specialist

University of Central FloridaOrlando, FL
15h$16 - $17Onsite

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 and deliver outstanding care to our community. The Opportunity: The Insurance Eligibility/Verification Specialist I supports clinical operations by managing insurance verification, eligibility, and essential administrative tasks. This role is a key point of contact for patient financial navigation and requires a strict commitment to maintaining the confidentiality of Protected Health Information (PHI).

Requirements

  • High School Diploma or Equivalent and 2+ years of relevant experience, or an equivalent combination of education and experience pursuant to Fla. Stat. 112.219(6).

Nice To Haves

  • Preference may be given to candidates who possess direct experience with insurance eligibility and verification.
  • Preference may be given to candidates proficient with medical terminology
  • Knowledge of Electronic Medical Records (EMR) and how to appropriately use EMR in the performance of work.
  • Preference may be given to candidates who have experience working in a medical office setting.
  • Preference may be given to candidates with excellent communication skills at all organizational levels, as well as with patients and insurance plans.

Responsibilities

  • Verify the insurance eligibility for patients and analyze policy coverage in order to maintain patient accounts in EHR system.
  • Determine deductibles, co-payments, and co-insurance for students and patients in participating insurance plans.
  • Verify that the insurance on file for patient appointments is active.
  • Update accounts with inactive insurance and contact patients for additional information.
  • Receive and verify patient insurance via multiple sources (in-person, phone, email, Qualtrics, kiosk, International Insurance Pool) and determine network status.
  • Collect the payment from patients for student health fees, co-pays, and prior balances.
  • Perform applicable system searches when necessary to determine student status.
  • Assist with the appointments/referrals for departments and serve as the liaison between participating insurance plans and patients.
  • Answer telephone calls.
  • Greet patients and visitors, and direct them to the appropriate office in Student Health Services.
  • 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.
  • Perform other duties as assigned including but not limited to the timely completion of all required university and college training.

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
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