Hybrid Insurance Claims Specialist — Optimize Cash Flow

UF Health; United States; Hybrid; USD 42,000 - 65,000; Full time

Job summary

UF Health Jacksonville is seeking an Insurance Claims Specialist to evaluate and process insurance claims, ensuring accurate coverage determinations and timely handling. The role supports clients, providers, and payers, collaborating with internal teams to optimize revenue cycle performance.

The position requires 2+ years in claims processing, strong communication, and detail-oriented record-keeping. It offers a hybrid work model with emphasis on accurate documentation and audit readiness.

Qualifications

• 2+ years of experience in insurance claims processing or related support.
• Working knowledge of insurance policies, coverage, and claim adjudication processes.
• Experience investigating, resolving, and following up on claim issues.
• Strong communication and customer service skills.
• Ability to maintain detailed records and ensure compliance.

Responsibilities

• Manage and evaluate insurance claims to ensure accuracy and timely processing.
• Investigate claims and negotiate settlements in accordance with policy guidelines.
• Respond to inquiries from claimants and other related parties in a timely and professional manner.
• Assist clients with accurate and complete claim submission.
• Coordinate with internal teams to facilitate efficient claim resolution.
• Maintain detailed records and ensure compliance with audit standards and regulatory requirements.

Skills

Insurance claims processing

Customer service

Communication

Record keeping

Education

High school diploma

Job description

UF Health Jacksonville is seeking an Insurance Claims Specialist to evaluate and process insurance claims, ensuring accurate coverage determinations and timely handling. The role supports clients, providers, and payers, collaborating with internal teams to optimize revenue cycle performance.

The position requires 2+ years in claims processing, strong communication, and detail-oriented record-keeping. It offers a hybrid work model with emphasis on accurate documentation and audit readiness.