Insurance Eligibility Specialist II

4 weeks ago


Orlando, Florida, United States University of Central Florida Full time
Job Summary

The University of Central Florida is seeking an experienced Insurance Eligibility Specialist II to join our Academic Health Sciences Center (AHSC) Student Health Team. As a key member of our Business Office's Insurance Unit, you will be responsible for providing insurance verification, eligibility, and related medical support functions.

Key Responsibilities
  • Verify, interpret, and analyze insurance eligibility coverage to maintain patients' accounts and schedule appointments.
  • Determine deductibles, co-payments, and co-insurance for patients in participating plans.
  • Transfer charges from the patient's EHR to the SHS Business office, which will submit the claim(s) to the participating insurance company.
  • Update accounts with active insurance, contact patients for essential information, and verify demographic data.
  • Collect payments, Student Health Fees, co-payments, and past-due balances.
  • Oversight of student employees, including creating and managing staffing schedules, verifying and approving timecards, training, and performance reviews.
  • Run daily insurance eligibility reports and troubleshoot department issues.
  • Maintain insurance database in the EHR system and create department materials/supplements.
  • Develop and revise department policies and procedures.
  • Provide CPT code support and pricing to providers, nursing staff, and patients as needed.
Requirements
  • High School Diploma or Equivalent and 4+ years of relevant experience or an equivalent combination of education and experience pursuant to Fla. Stat. 112.219.
  • Excellent communication skills at all organizational levels, as well as with patients and insurance plans.
  • Proficient with medical terminology and knowledge of Electronic Medical Records (EMR) and how to appropriately use EMR in the performance of work.
  • Prior experience working in a medical office setting.
About the University of Central Florida

The University of Central Florida is a next-generation public research university and Forbes-ranked top employer in Florida. We are a community of thinkers, doers, creators, innovators, healers, and leaders striving to create broader prosperity and help shape a better future.



  • Orlando, Florida, United States KW Advantage II Full time

    KW Advantage II is seeking a highly skilled Commercial Sales Specialist to join our team. As a Commercial Sales Specialist, you will be responsible for creating relationships with businesses in various industries to establish future growth potential. You will schedule and be present for all property inspections to assist clients with purchase/sale...


  • Orlando, Florida, United States KW Advantage II Full time

    Job OpportunityLaunch a successful sales career in commercial real estate with KW Advantage II. We're seeking a skilled Commercial Sales Specialist to join our team.Key ResponsibilitiesEstablish relationships with businesses to identify growth opportunitiesAssist clients with property inspections and purchase/sale agreementsConduct market studies and present...


  • Orlando, Florida, United States UCF Hotel Venture II Full time

    At UCF Hotel Venture II, we're looking for a skilled Engineering Specialist to join our team at Loews Hotels at Universal Orlando. Our world-class team brings to life the incredible hotels located at Universal Orlando Resort.We're committed to our "power of we" culture, which means we value diversity, inclusivity, and teamwork. If you're looking for a place...


  • Orlando, Florida, United States TopTalent Staffing Full time

    Job DescriptionJob Title: Eligibility SpecialistWe are seeking a highly skilled Eligibility Specialist to join our team at TopTalent Staffing. As an Eligibility Specialist, you will play a critical role in ensuring the eligibility of government assistance program applicants.Key Responsibilities:Screen pre-applicants and current tenants to establish...


  • Orlando, Florida, United States Orlando Health Full time

    Diagnostic Sonographer II - Ultrasound SpecialistOrlando Health is seeking a highly skilled Diagnostic Sonographer II - Ultrasound Specialist to join our team. As a Diagnostic Sonographer II, you will be responsible for performing diagnostic sonographic imaging and related procedures to demonstrate anatomy for interpretation and/or intervention.Associate...


  • Orlando, Florida, United States Katmai Full time

    Job SummaryAs a Human Resources Specialist II at Katmai, you will play a critical role in analyzing and resolving complex human resource-related questions for our organization. You will advise customers on integrating effective HR processes and practices into their daily operations, communicate with hiring officials, and develop and classify positions...


  • Orlando, Florida, United States UCF Hotel Venture II Full time

    **Are you looking for a career that combines technical expertise with a passion for creating exceptional experiences?**At UCF Hotel Venture II, we're seeking a highly skilled Engineering Specialist to join our team.About the Role:As an Engineering Specialist, you'll play a critical role in ensuring the smooth operation of our facilities. You'll be...


  • Orlando, Florida, United States CrossLink Professional Tax Solutions Full time

    Job Type: Full-timeDescription:At CrossLink Professional Tax Solutions, we are seeking a highly skilled Technical Support Specialist II to join our team. As a Technical Support Specialist II, you will be the main contact for customers to provide technical support and service for CrossLink products.Responsibilities:Receive inbound telephone calls, chat...

  • Diesel Mechanic II

    1 month ago


    Orlando, Florida, United States Cox Automotive Mobility Fleet Services Full time

    Fleet Services SpecialistCox Automotive Mobility Fleet Services is seeking a skilled Diesel Mechanic II to join our team. As a Fleet Services Specialist, you will be responsible for performing licensed DOT Inspections, Preventative Maintenance inspections, and light and follow-up repairs on truck and trailer equipment.Key Responsibilities:Performing...


  • Orlando, Florida, United States O'Neil Lee & West Full time

    Job Title: Commercial Insurance SpecialistAbout the Role:We are seeking a highly motivated and dedicated Commercial Insurance Specialist to join our team at O'Neil Lee & West. As a Commercial Insurance Specialist, you will play a crucial role in understanding our clients' unique business needs and providing them with tailored insurance solutions.Key...


  • Orlando, Florida, United States Health First Full time

    Health First OpportunityAt Health First, we are seeking a skilled Histology Technologist II Specialist to join our team. This role is responsible for providing high-quality laboratory preparation of tissue specimens for microscopic examination by pathologists. The successful candidate will be responsible for preparing tissue specimens, performing...


  • Orlando, Florida, United States Henry Wahl - State Farm Agent Full time

    Job OverviewWe are seeking a highly motivated and experienced Insurance Account Specialist to join our team at Henry Wahl - State Farm Agent in Historic Downtown Orlando. As an Insurance Account Specialist, you will be responsible for developing leads, scheduling appointments, identifying customer needs, and marketing appropriate products and services.Key...


  • Orlando, Florida, United States MCI Careers Full time

    Job Title: Licensed Insurance SpecialistWe are seeking a highly motivated and detail-oriented Licensed Insurance Specialist to join our team. As a key member of our insurance team, you will be responsible for providing exceptional customer service and ensuring that our clients receive the best possible insurance solutions.Key Responsibilities:Provide...


  • Orlando, Florida, United States MHI Full time

    Job SummaryMHI is seeking a highly skilled Global Sourcing Specialist II to join our team. As a key member of our procurement team, you will be responsible for identifying and sourcing MRO materials and services needed for facility operations. Your negotiation and contract management skills will be essential in ensuring cost-effective procurement and...


  • Orlando, Florida, United States The Cigna Group Full time

    Job SummaryWe are seeking a highly skilled Eligibility Senior Representative to join our team at The Cigna Group. As an Eligibility Senior Representative, you will be responsible for delivering specific delegated Eligibility tasks assigned by a supervisor. This includes implementing, updating, and maintaining automated, direct connect and/or manual...


  • Orlando, Florida, United States MCI Careers Full time

    Job Title: Licensed Health Insurance SpecialistJob Summary:We are seeking a highly skilled Licensed Health Insurance Specialist to join our team. As a key member of our customer service team, you will be responsible for providing expert guidance to customers on various healthcare options and insurance policies.Key Responsibilities:Provide accurate and...

  • VoIP Technician

    4 weeks ago


    Orlando, Florida, United States Smart City Solutions II, LLC Full time

    Job OverviewSmart City Solutions II, LLC is seeking a highly skilled VoIP Technician to join our team. As a key member of our technical staff, you will be responsible for installing, programming, and troubleshooting Hosted Voice services.Key Responsibilities:Install and configure Hosted Voice services, including chat, presence, voice, mobility, and audio...


  • Orlando, Florida, United States University of Central Florida Full time

    Job SummaryThe University of Central Florida is seeking a highly skilled Subaward Specialist II to join our team in the Office of Research - Operations. As a key member of our team, you will be responsible for performing subaward sponsored programs functions associated with the review, negotiation, and execution of subaward agreements.Key Responsibilities...


  • Orlando, Florida, United States Cole Engineering Services Full time

    Cyber System Support SpecialistCompany Overview:Cole Engineering Services LLC is a leading provider of IT services, specializing in cyber system support and maintenance. Our team of experts is dedicated to delivering high-quality solutions to our clients, ensuring their cyber systems are secure and running smoothly.Position Overview:We are seeking a highly...


  • Orlando, Florida, United States Marriott Vacations Worldwide Full time

    Job SummaryAs a Maintenance Technician II at Marriott Vacations Worldwide, you will play a critical role in ensuring the smooth operation of our facilities. Your primary responsibility will be to perform mid-level repairs, respond to guest repair requests, and perform preventive maintenance tasks as assigned. You will also be responsible for communicating...