Insurance Verification Specialist
Tampa Family Health Centers•Tampa, FL
•Hybrid
About The Position
We are seeking an Insurance Verification Specialist to join our Revenue Cycle Management team. This role is responsible for verifying patient insurance coverage and benefits to support accurate billing and claims processing. The Insurance Verification Specialist will work closely with patients, clinicians, and insurance companies to confirm eligibility, update insurance information, resolve coverage inquiries, and ensure compliance with healthcare regulations.
Requirements
- High School Diploma or equivalent required
- Minimum of 1 year of insurance verification experience required
- Understanding of insurance benefits, eligibility verification, medical terminology, and coding
- Proficiency in Real Time Eligibility tools and payer portal navigation
- Ability to work independently and effectively manage time to meet productivity goals
- Strong verbal and written communication skills
- High level of accuracy and attention to detail
- Ability to multitask and thrive in a fast-paced healthcare environment
Nice To Haves
- EPIC Certification preferred but not required
- FQHC experience preferred but not required
Responsibilities
- Verify patient insurance coverage and benefits eligibility using the EPIC Real Time Eligibility module
- Communicate with patients, healthcare providers, and insurance companies to obtain necessary information
- Coordinate with clinical staff and operations teams to ensure required documentation is available for insurance verification
- Update patient insurance information within the EPIC system as needed
- Follow up on issues related to insurance verification and claim submission
- Navigate payer websites and online tools to confirm coverage details
- Resolve patient billing and insurance inquiries and disputes
- Educate patients regarding insurance coverage, benefits, and financial obligations
- Maintain accurate documentation for reporting and audit purposes
- Report trends, issues, and optimization opportunities to Revenue Cycle Management leadership
- Ensure compliance with privacy, confidentiality, and healthcare regulations
Benefits
- Medical, Dental, and Vision Insurance
- Life and Disability Insurance offerings
- Generous PTO and paid company holidays
- 401(k) program with employer contribution eligibility
- Professional development opportunities
- Mission-driven and collaborative work environment
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
