Insurance Office Clinical Service Rep II; Revenue Cycle Specialist
Listed on 2026-10-10
-
Healthcare
Medical Billing and Coding, Healthcare Administration
Job no: 541622
Work type:
Staff Full-Time
Location:
Main Campus (Gainesville, FL)
Categories:
Veteran's Preference Eligible, Health Care Administration/Support
Department: - SH-INSURANCE OFFICE
Classification
Title:
Clin Service Representative II
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.
Job Description The OpportunityThe Student Health Care Center (SHCC) at the University of Florida is seeking two Clinical Service Representative II (Revenue Cycle Specialist) positions. Reporting to the Coding and Reimbursement Supervisor, you’ll play a key role in supporting the billing and reimbursement process while helping students access and understand healthcare services.
The key responsibilities of the position include the following:Facilitating established financial processes that enable and expedite the billing and collection of professional services. This includes entering charges, applying basic coding/billing rules, maximizing collections, verifying insurance, obtaining authorizations for services, reviewing patient account details, and financial counseling of patients. Accountable for resolving front-end edits, rejections, and information requests to achieve practice goals.
EHR SupportResponsible for reviewing and updating patient account details and entering and verifying insurance. Obtain all consent forms, copies of identification/ insurance cards, and other required documentation. Verify student status/eligibility for services and select the appropriate guarantor for appointment. Ensures scanning of paper documents in EPIC is properly completed, labeled, and placed in the correct tab of the patient EHR. Work effectively with a wide range of students whose needs may be difficult to assess on initial contact.
Responsible for posting insurance and patient payments accurately and efficiently. Monitor claims through the reimbursement process and follow up on outstanding claims. Investigate and resolve claim denials, rejections, and underpayments. Submit appeals and supporting documentation to insurance carriers as needed. Communicate with insurance companies to resolve claim and payment issues. Maintain accurate billing records and documentation. Assist patients with billing questions, payment processing, and balance inquiries.
Collaborate with providers and staff to support accurate charge capture and reimbursement.
Troubleshooting, researching, and making corrections to ensure claims are clean and reprocessed for payment or written off when not eligible for payment.
Payment postingAssist with insurance updates in the EPIC system at the beginning of each quarter. Serve as in-house insurance educator for support staff and assist with questions on the insurance process and application in the EPIC system.
Typical Schedule- 8 am to 5 pm daily (Monday through Friday) and one-hour lunch during Fall and Spring semesters.
- 8 am to 4:30 pm daily (Monday through Friday) with a one-half hour lunch during Summer semesters.
The Student Health Care Center (SHCC) at the University of Florida is seeking two Clinical Service Representative II (Revenue Cycle Specialist) positions. Reporting to the Coding and Reimbursement Supervisor, you’ll play a key role in supporting the billing and reimbursement process while helping students access and understand healthcare services.
The key responsibilities of the position include the following:Financial Support
Facilitating established financial processes that enable and expedite the billing and collection of professional services. This includes entering charges, applying basic coding/billing rules, maximizing collections, verifying insurance, obtaining authorizations for services, reviewing patient account details, and financial counseling of patients. Accountable for resolving front-end edits, rejections, and information requests to achieve practice goals.
EHR Support
Responsible for reviewing and updating patient account details and entering and verifying insurance. Obtain all consent forms, copies of identification/ insurance cards, and other required documentation. Verify student status/eligibility for services and select the appropriate guarantor for appointment. Ensures scanning of paper documents in EPIC is properly completed, labeled, and placed in the…
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