Insurance Claims Specialist | Patient Financial Services
St Augustine, FL
Full-time
Remote
1 month ago
About the role
Overview
Support claims resolution and customer service excellence while working alongside a collaborative onsite revenue cycle team.
š» Work Style: Hybrid
š Location Requirement: Gainesville, FL
š 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
Qualifications
Education
Required Skills & Qualifications
Support claims resolution and customer service excellence while working alongside a collaborative onsite revenue cycle team.
š» Work Style: Hybrid
š Location Requirement: Gainesville, FL
š 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
Skills
OtherHospitals and Health Care