Job Title

Insurance Verifications Specialist

Reports To

The Insurance Verification Specialist will report to Revenue Cycle Manager of UCF Health.

Position Summary

The Insurance Verification Specialist provide various administrative and office support functions for a clinical operation.

Position Details

Funding Source: UCF Clinical LLC / UCF Health

Fair Labor Standards Act: Non-exempt

Job Family: Administrative Support

Location: UCF Health – Lake Nona

Work Schedule: Monday – Friday; 08:00am – 05:00pm

Status: 1.0 Full Time Equivalent

Benefits: Benefits Eligible

• Medical Benefits - Florida Blue (4 Plans)
• Dental (Metlife)
• Vision (Metlife)
• Paid Time Off (192 hours per year)
• Tuition Reimbursement - $3,000 per year / $10,000 max if UCF
• Short Term Disability
• Long Term Disability - Employer paid
• Employee Assistance Program - ESPYR
• Employee Discount Program
• Accident, Cancer, Hospital, Critical Illness
• Flex Spending Account
• Dependent Care
• Legal Assistance
• Identify Theft
• Pet, Home, Auto Insurance
• For more information on UCF Health benefits including cost go to: https://ucfhealth.com/careers/

Responsibilities and Duties

• Verifies insurance by web or phone to determine covered/non-covered services
• Discusses benefits and explains office policies and procedures
• Obtains needed verifications, referrals, or authorizations for office visits
• Calculates patient cost and assists with billing concerns and questions
• Enters and reenters data, confirming accuracy and correcting errors
• Evaluates patient accounts for medical necessity; notates prior authorization in electronic medical record
• Researches and resolves eligibility errors
• Understands patient financials and discusses payment requirements
• Arranges payment plans; generates reports

Qualifications

• Education level – High School Diploma or Equivalent
• Experience – 1+ years of relevant experience. Previous insurance verification experience preferred. eCW experience preferred.
• Specific skills – Providing administrative support to medical staff.
• Personal characteristics – We are seeking an individual who has a passion for training and developing future Doctors.
• Certifications – None required.
• Licenses – None required.
• Physical abilities – Standard office environment with no unique physical demands