Insurance Verification Specialist

Tampa Family Health Centers

Posted 3 months ago

Full Time

Tampa, Florida

Hybrid

Smart Summary

Responsibilities

The specialist is responsible for verifying patient insurance coverage and benefits using the EPIC system to ensure accurate billing. They coordinate with patients, clinicians, and insurance companies to resolve coverage inquiries and maintain compliance with healthcare regulations.

Qualifications

You have a high school diploma or equivalent and at least one year of experience in insurance verification. You are proficient in using real-time eligibility tools and navigating payer portals, with a strong understanding of insurance benefits, medical terminology, and coding.

Must Have Skills for ATS

EPIC Real Time Eligibility module

EPIC

insurance verification

medical terminology

medical coding

payer portal navigation

Job Description

Insurance Verification Specialist

Location: Remote, with occasional in-office attendance as required
Organization: Tampa Family Health Centers
Position Type: Full-Time, Non-Exempt


About Tampa Family Health Centers

At Tampa Family Health Centers, healthcare is more than a service—it’s our mission. As a Federally Qualified Health Center, we provide high-quality, compassionate, and accessible healthcare to a culturally diverse community across Hillsborough County.

Joining TFHC means becoming part of a mission-driven organization where every team member plays a vital role in supporting exceptional patient care and improving the healthcare experience for the communities we serve.


Position Summary

We are seeking an Insurance Verification Specialist to join our Revenue Cycle Management team. This role is responsible for verifying patient insurance coverage and benefits to support accurate billing and claims processing. The Insurance Verification Specialist will work closely with patients, clinicians, and insurance companies to confirm eligibility, update insurance information, resolve coverage inquiries, and ensure compliance with healthcare regulations. 


Essential Responsibilities

  • 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  

Qualifications

  • 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  

Skills & Abilities

  • 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 & Rewards

TFHC offers a comprehensive benefits package designed to support your personal well-being and professional growth:

  • 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

Join Us

If you are detail-oriented, patient-focused, and passionate about supporting efficient healthcare operations, apply today and join Tampa Family Health Centers in making a meaningful impact across the Tampa Bay community.


Monday - Friday 8:00AM - 5:00PM EST

Tampa Family Health Centers

For over 40 years, Tampa Family Health Centers (TFHC) has been committed to providing high-quality, comprehensive healthcare services to the Tampa Bay community, ensuring everyone has access to the care they need. Our services include primary care, dental care, behavioral health, women's health, pediatrics, and specialty care, delivered by a team of dedicated professionals. For more information, visit www.tfhc.org.
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