What are the responsibilities and job description for the Insurance Claims Specialist | Patient Financial Services position at University of Florida Health?
Job Family: Office and Clerical
Full/Part Time: Full Time
Shift/Days: Not Applicable
FTE: 1.00
Department: Patient Financial Services
Organization: Shands Teaching Hosp & Clinics
Overview
Insurance Claims Specialist | Patient Financial Services
?? Work Style: Remote?? Location Requirement: Gainesville, FL?? FTE: Full-Time (1.0 FTE)Manages and evaluates insurance claims to ensure accurate coverage and timely processing. Investigates claims, negotiates settlements, and responds to inquiries from claimants and related parties. Assists clients in submitting claims correctly and coordinates with internal teams to facilitate efficient claim resolution. Maintains detailed records and verifies claim compliance are key to supporting audit and regulatory requirements.
Responsibilities
• Manages and evaluates insurance claims for accuracy and timely processing.
• Investigates claims and negotiates settlements.
• Responds to inquiries from claimants and related parties.
• Assists clients in submitting claims correctly.
• Coordinates with internal teams to facilitate claim resolution.
• Maintains detailed records and verifies claim compliance.
Qualifications
Education: High School diploma or equivalent. Minimum Qualifications:• 2 years experience in insurance claims processing and support
• Knowledge of insurance policies and claim adjudication
• Experience investigating and resolving claim issues
• Strong communication and customer service skills
• Ability to maintain detailed records and ensure compliance Preferred Qualifications:
• Experience with Physician billing
• Experience with Hospital billing