Insurance Verification Specialist

Insurance Verification SpecialistLocation: Remote, with occasional in-office attendance as required Organization: Tampa Family Health Centers Position Type: Full-Time, Non-ExemptAbout Tampa Family Health CentersAt 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 SummaryWe 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 ResponsibilitiesVerify patient insurance coverage and benefits eligibility using the EPIC Real Time Eligibility moduleCommunicate with patients, healthcare providers, and insurance companies to obtain necessary informationCoordinate with clinical staff and operations teams to ensure required documentation is available for insurance verificationUpdate patient insurance information within the EPIC system as neededFollow up on issues related to insurance verification and claim submissionNavigate payer websites and online tools to confirm coverage detailsResolve patient billing and insurance inquiries and disputesEducate patients regarding insurance coverage, benefits, and financial obligationsMaintain accurate documentation for reporting and audit purposesReport trends, issues, and optimization opportunities to Revenue Cycle Management leadershipEnsure compliance with privacy, confidentiality, and healthcare regulationsQualificationsHigh School Diploma or equivalent requiredEPIC Certification preferred but not requiredMinimum of 1 year of insurance verification experience requiredFQHC experience preferred but not requiredSkills & AbilitiesUnderstanding of insurance benefits, eligibility verification, medical terminology, and codingProficiency in Real Time Eligibility tools and payer portal navigationAbility to work independently and effectively manage time to meet productivity goalsStrong verbal and written communication skillsHigh level of accuracy and attention to detailAbility to multitask and thrive in a fast-paced healthcare environmentBenefits & RewardsTFHC offers a comprehensive benefits package designed to support your personal well-being and professional growth:Medical, Dental, and Vision InsuranceLife and Disability Insurance offeringsGenerous PTO and paid company holidays401(k) program with employer contribution eligibilityProfessional development opportunitiesMission-driven and collaborative work environmentJoin UsIf 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.