[Hiring] Insurance Claims Specialist @UF Health

Role Description

This position is responsible for coordinating incoming and outgoing payer correspondence, reviewing claim documentation, supporting Epic account updates, and ensuring accurate claim processing and routing. Ideal candidates are detail-oriented, analytical, and thrive in a fast-paced environment while helping drive efficiency and accuracy across the revenue cycle team.

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 and routing.
• Maintain accurate account documentation and correspondence updates within Epic.
• Analyze large volumes of payer and demographic information to identify trends, discrepancies, and updates.
• Support revenue cycle operations through strong attention to detail, organization, and process accuracy.
• Work collaboratively with team members to ensure timely and efficient claims support activities.
• Maintain knowledge of insurance processes, payer requirements, and operational workflows while supporting the financial integrity of UF Health.

Qualifications

• High School Diploma/Equivalent.
• 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 payors, including BCBS, United, Aetna, Cigna, and others.
• Epic experience preferred, with familiarity using computerized insurance billing systems and Microsoft Office programs preferred.
• Strong communication, organizational, 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 payers and internal teams while exercising sound judgment in account resolution.
• Knowledge of medical terminology preferred.
• Demonstrated ability to consistently achieve performance expectations while managing multiple priorities under pressure.