Insurance Claims Support Spec

About the role

Bring your claims expertise to a remote team committed to service excellence and operational success. This position is responsible for coordinating incoming and outgoing payer correspondence, reviewing claim documentation, supporting Epic account updates, and ensuring accurate claim processing and routing.

Work Style: Remote (on-site training available)
Location Requirement: Gainesville, FL
FTE: Full-Time (1.0 FTE)

Responsibilities

• Manages and evaluates insurance claims to ensure accuracy and timely processing.
• Investigates claims, reviews supporting documentation, and negotiates appropriate settlements.
• Responds to inquiries from claimants, vendors, and related parties in a timely and professional manner.
• Assists clients with proper claim submission and provides guidance throughout the claims process.
• Coordinates with internal teams to facilitate efficient claim resolution and workflow management.
• Maintains detailed and accurate records while ensuring compliance with regulatory and audit requirements.
• Handles UB04 billing tasks.

Requirements

Education

High School Diploma or equivalent.

Experience

• 2+ years of experience in insurance claims processing and support.
• Working knowledge of insurance policies, coverage, and claims adjudication processes.
• Experience investigating, analyzing, and resolving claim-related issues.
• Strong communication and customer service skills with the ability to interact effectively with claimants and stakeholders.
• Demonstrated ability to maintain accurate records and ensure compliance with regulatory and audit requirements.

Preferred Qualifications

• Experience with UB04 billing.
• Ability to read UB04 forms.