Insurance Eligibility/Verification Specialist
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). This position is primarily based at the main campus. Student Health Services also operates a satellite clinic at the College of Medicine Campus in Lake Nona.
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
- Experience with insurance eligibility and verification.
- Proficiency in medical terminology.
- Knowledge of Electronic Medical Records (EMR) systems and the ability to use EMR appropriately in the performance of job duties.
- Experience working in a medical office setting.
- Strong communication skills, with the ability to interact effectively across 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.
- Occasional coverage at the Lake Nona location as needed based on operational needs.
- 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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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
1,001-5,000 employees
