Clinical Services Representative II – Student Health Care Center
6 days ago
The University of Florida's Student Health Care Center (SHCC) within the Department of Community Health and Family Medicine (CHFM) is seeking a Clinical Services Representative II to manage denied insurance claims, reconcile patient accounts in EPIC with the UF Bursar, and provide exceptional service to a diverse student population.
Responsibilities:- Answer calls, direct inquiries, and assist patients with billing and insurance questions.
- Ensure accurate and timely billing processes.
- Enter charges, apply basic coding/billing rules, and maximize collections.
- Verify insurance and obtain necessary authorizations for services.
- Review patient account details and provide financial counseling to patients.
- Resolve front-end edits, rejections, and information requests to meet practice goals.
- Review and update patient account details in the EPIC system.
- Verify insurance and obtain consent forms, identification, and other required documentation.
- Confirm student status/eligibility for services and assign the correct guarantor for appointments.
- Ensure proper scanning, labeling, and placement of paper documents in the correct section of the EPIC electronic health record (EHR).
- Serve as lead in the Insurance Department, verifying insurance and setting up new patient accounts in EPIC.
- Assist with insurance updates in EPIC at the start of each quarter.
- Act as an in-house insurance educator, providing support and guidance to staff on insurance processes and EPIC application.
- High school diploma or equivalent and two years of relevant office experience.
- Appropriate college coursework or vocational/technical training may substitute an equivalent rate for the required experience.
- Ability to adhere to high standards of customer service.
- Possess excellent communication, organization, and problem-solving skills.
- Must be comfortable discussing personal health information in a confidential, professional manner.
- Business or healthcare-related practice experience.
- The ability to multi-task, prioritize responsibilities, problem-solve, and function in a team environment.
- EPIC system knowledge.
- Knowledge of CPT, HCPCS, and ICD- codes.
- Working knowledge of WayStar and Availity.
- Ability to adhere to UF and UF Health policy.
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