Claims Specialist Jobs in Florida

Overview:

Support claims resolution and customer service excellence while working alongside a collaborative onsite revenue cycle team.

Work Style: Hybrid

Location Requirement: Gainesville, FL

FTE: Full-Time (1.0 FTE)

This role supports daily insurance follow-up operations through payer correspondence coordination, claim documentation review, Epic account updates, and accurate claim processing and routing. The ideal candidate is detail-oriented, analytical, organized, and thrives in a fast-paced healthcare environment with a strong focus on accuracy and service.

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, routing, and processing accuracy
• Maintain accurate account documentation and correspondence updates within Epic
• Analyze high volumes of payer and demographic information to identify discrepancies, trends, and needed account updates
• Support revenue cycle operations through strong attention to detail, organization, and process accuracy
• Collaborate with team members to ensure timely, efficient, and customer-focused workflow support across the department
• Assist with maintaining operational consistency and compliance within daily claims processing activities
• Support accurate claim resolution and communication workflows in a fast-paced healthcare environment

Education

• High School Diploma or equivalent required

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 and government payers, including BCBS, Medicare, Medicaid, and third-party insurance carriers preferred
• Epic experience required, with familiarity using computerized insurance billing systems and Microsoft Office applications preferred
• Strong communication, organizational, analytical, 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 patients, insurance payers, and internal team members while maintaining excellent customer service
• Demonstrated ability to manage multiple priorities, maintain workflow efficiency, and support accurate claims processing operations