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Insurance Claims Specialist | Patient Financial Services

UF Health

St. Augustine, Florida

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JOB DETAILS
SKILLS
Accounting, Analysis Skills, Billing, Claims Processing, Communication Skills, Customer Relations, Customer Support/Service, Demographics, Detail Oriented, Documentation, Documentation Review, Finance, Financial Services, Government, Healthcare, Hospital, Insurance, Insurance Claims, Mail Processing, Mathematics, Medicaid, Medicare, Microsoft Office, Multitasking, Operational Support, Organizational Skills, Problem Solving Skills, Team Player, Third-Party Payer, Time Management, Trend Analysis
LOCATION
St. Augustine, Florida
POSTED
4 days ago
Overview:

Support claims resolution and customer service excellence while working alongside a collaborative onsite revenue cycle team.

 

 Work Style: Hybrid
 Location Requirement: Gainesville, FL
 FTE: Full-Time (1.0 FTE)

 

This role supports daily insurance follow-up operations through payer correspondence coordination, claim documentation review, Epic account updates, and accurate claim processing and routing. The ideal candidate is detail-oriented, analytical, organized, and thrives in a fast-paced healthcare environment with a strong focus on accuracy and service.

Responsibilities:

Key Responsibilities

  • Manage incoming insurance payer correspondence, ensuring documentation is accurately reviewed, sorted, and prepared for scanning
  • Coordinate outgoing mail and fax communications to patients and insurance payers in support of Insurance Claims Specialists
  • Review and evaluate paper claims to ensure proper handling, routing, and processing accuracy
  • Maintain accurate account documentation and correspondence updates within Epic
  • Analyze high volumes of payer and demographic information to identify discrepancies, trends, and needed account updates
  • Support revenue cycle operations through strong attention to detail, organization, and process accuracy
  • Collaborate with team members to ensure timely, efficient, and customer-focused workflow support across the department
  • Assist with maintaining operational consistency and compliance within daily claims processing activities
  • Support accurate claim resolution and communication workflows in a fast-paced healthcare environment
Qualifications:

Education

  • High School Diploma or equivalent required

Required Skills & Qualifications

  • Minimum of six (6) months of billing experience within a hospital or physician practice setting, or one (1) year of experience in a business environment involving finance, accounting, or insurance portal systems
  • Experience verifying patient insurance eligibility and working with commercial and government payers, including BCBS, Medicare, Medicaid, and third-party insurance carriers preferred
  • Epic experience required, with familiarity using computerized insurance billing systems and Microsoft Office applications preferred
  • Strong communication, organizational, analytical, and problem-solving skills with the ability to work independently in a fast-paced environment
  • Above-average math aptitude with strong attention to detail and accuracy
  • Ability to interact professionally with patients, insurance payers, and internal team members while maintaining excellent customer service
  • Demonstrated ability to manage multiple priorities, maintain workflow efficiency, and support accurate claims processing operations
 
 
 

About the Company

U

UF Health