Insurance Verification Specialist

Tampa Family Health Centers, Inc.; Lake Magdalene (FL); Hybrid; USD 36,000 - 52,000; Full time

Benefits offered by this job

Medical, Dental, Vision

Life and Disability

PTO and Holidays

401(k) with match

Mission-driven team

Job summary

Tampa Family Health Centers is seeking an Insurance Verification Specialist to join our Revenue Cycle Management team. This role verifies patient coverage and benefits to support accurate billing and claims processing, coordinating with patients, clinicians, and insurers to confirm eligibility and update information.

Ideal candidates have a high school diploma, EPIC familiarity, and at least 1 year of verification experience.

Qualifications

• High School Diploma or equivalent required.
• EPIC Certification preferred but not required.

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.

Skills

Insurance verification

Real Time Eligibility

Payer portal navigation

Communication

Time management

Education

High School Diploma or equivalent

EPIC Certification

Tools

EPIC Real Time Eligibility

Job description

Insurance Verification Specialist

REVENUE CYCLE MANAGEMENT Administration Tampa, FL, US

6 days ago Requisition ID: 2721

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 is our mission. As a Federally Qualified Health Center (FQHC), we provide quality, compassionate, and accessible care to communities across Hillsborough County.

Our team is driven by innovation, collaboration, and a commitment to positive change. We are proud to be recognized as a leader in empathy-driven, patient-centered care.

Joining TFHC means becoming part of a mission-driven organization where you will receive the support, training, and recognition needed to grow while making a meaningful impact in the community.

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.

• 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
• Mission-driven and collaborative work environment