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Insurance Verification Specialist
Tampa Family Health CentersInsurance Verification Specialist verifying patient insurance coverage and benefits for Tampa Family Health Centers. Collaborating with patients and insurers to ensure accurate billing and claims processing.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in insurance verification processes, including proficiency in EPIC Real Time Eligibility tools and payer portal navigation. Strong communication skills facilitate effective interactions with patients, healthcare providers, and insurance companies while ensuring compliance with healthcare regulations.
Highest-signal resume keywords
Insurance Verification ExperienceEPIC Real Time Eligibility ProficiencyMedical Terminology UnderstandingStrong Communication SkillsAttention to Detail
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Insurance VerificationEligibility VerificationMedical CodingDocumentation MaintenancePayer Portal NavigationReal Time Eligibility ToolsBilling Resolution
Soft Skills
Time ManagementMultitaskingIndependent Work
Tools & Technologies
EPIC System
Certifications & Qualifications
EPIC Certification
Industry Keywords
FQHC ExperienceHealthcare RegulationsPatient EducationRevenue Cycle Management
About the role
Key responsibilities & impact- Verify patient insurance coverage and benefits eligibility using the EPIC Real Time Eligibility module
- Communicate with patients, healthcare providers, and insurance companies to obtain necessary information
- Coordinate with clinical staff and operations teams to ensure required documentation is available for insurance verification
- Update patient insurance information within the EPIC system as needed
- Follow up on issues related to insurance verification and claim submission
- Navigate payer websites and online tools to confirm coverage details
- Resolve patient billing and insurance inquiries and disputes
- Educate patients regarding insurance coverage, benefits, and financial obligations
- Maintain accurate documentation for reporting and audit purposes
- Report trends, issues, and optimization opportunities to Revenue Cycle Management leadership
- Ensure compliance with privacy, confidentiality, and healthcare regulations
Requirements
What you’ll need- High School Diploma or equivalent required
- EPIC Certification preferred but not required
- Minimum of 1 year of insurance verification experience required
- FQHC experience preferred but not required
- Understanding of insurance benefits, eligibility verification, medical terminology, and coding
- Proficiency in Real Time Eligibility tools and payer portal navigation
- Ability to work independently and effectively manage time to meet productivity goals
- Strong verbal and written communication skills
- High level of accuracy and attention to detail
- Ability to multitask and thrive in a fast-paced healthcare environment
Benefits
Comp & perks- Medical, Dental, and Vision Insurance
- Life and Disability Insurance offerings
- Generous PTO and paid company holidays
- 401(k) program with employer contribution eligibility
- Professional development opportunities
- Mission-driven and collaborative work environment