Insurance Verification Specialist

Tampa Family Health Centers•Tampa, FL
•Remote

About The Position

Tampa Family Health Centers is seeking an Insurance Verification Specialist to join its Revenue Cycle Management team. The role verifies patient insurance coverage and benefits to support accurate billing and claims processing. The specialist works with patients, clinicians, and insurance companies to confirm eligibility, update insurance information, resolve coverage inquiries, and ensure compliance with healthcare regulations. The position is remote, with occasional in-office attendance as required, and is full-time and non-exempt. The schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m. EST.

Requirements

  • High school diploma or equivalent.
  • Minimum of 1 year of insurance verification experience.
  • 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 manage time effectively 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.
  • FQHC experience.

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 insurance verification and claim submission issues.
  • 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 paid time off.
  • Paid company holidays.
  • 401(k) program with employer contribution eligibility.
  • Professional development opportunities.
  • Mission-driven and collaborative work environment.
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