Insurance Verification Specialist

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 serviceit'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.

Tampa Family Health Centers