Insurance Claims Specialist - Patient Financial Services

Title: Insurance Claims Specialist | Patient Financial Services Location: Gainesville United States Job Description:

• Office and Clerical
• 63499

Job Description

Overview Bring your claims expertise to a remote team committed to service excellence and operational success. Work Style: Remote Location Requirement: Gainesville, FL FTE: Full-Time (1.0 FTE) 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

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 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

Education

• High School Diploma/Equivalent

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, including BCBS, United, Aetna, Cigna and other commercial payors.
• 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