DescriptionNature of Work: This position typically reports to a Manager Fiscal & Business Administration Safety Compliance Manager or other appropriate supervisor of a department or clinic with responsibility for insurance claims. To be successful in this non-exempt position the Insurance Specialist must have knowledge of insurance related processes and terminology release of records law and data management and tracking computer systems as well as applicable confidentiality and HIPAA laws and university/departmental policies and procedures. This position requires good written and oral communication skills in order to effectively interact with insured individuals claimants medical and other service providers insurance company representative
This position is time limited. This position requires a level II background check.
ResponsibilitiesReferral Management
- Phone reception/answering main line and routing calls or follow-up as appropriate both within the ES program staff and/or to other university or community entities based on the inquiry.
- Receive review and process referrals from families healthcare providers schools and community agencies.
- Maintain accurate records of referral documents and records.
- Communicate with families to briefly explain program services and ensure families are still interested in moving forward with the process.
- Ensure compliance with timelines and documentation standards set by state and federal guidelines.
- Collect and verify demographic medical and developmental information to initiate the intake process.
- Serve as the first point of contact for families providing compassionate guidance throughout the intake process.
- Process medical all medical records requests from FL DOH attorneys and families.
Intake and insurance verification/consent to bill
- Conduct the Intake process for all families referred to the program.
- Send consent to bill insurance paperwork to families via the parent portal.
- Verify childs insurance information provided by the family and update the medical records to reflect.
Scheduling evaluations
- Schedule developmental evaluations re-evaluations and ADOS evaluations in collaboration with SCs and multidisciplinary teams.
QualificationsThis position requires a high school diploma or equivalent with one to three years of relevant experience. Appropriate college coursework or vocational/technical training may substitute at an equivalent rate for the required experience. Proficiency with word processing and spreadsheet or database software preferred.
Senate Bill 1310- The Florida Senate ( is conditional upon meeting all employment eligibility requirements in the U.S.
SB 1310: Substitution of Work Experience for Postsecondary Education Requirements
A public employer may include a postsecondary degree as a baseline requirement only as an alternative to the number of years of direct experience required not to exceed:
(a) Two years of direct experience for an associate degree;
(b) Four years of direct experience for a bachelors degree;
(c) Six years of direct experience for a masters degree;
(d) Seven years of direct experience for a professional degree; or
(e) Nine years of direct experience for a doctoral degree
Related work experience may not substitute for any required licensure certification or registration required for the position of employment as established by the public employer and indicated in the advertised description of the position of employment.
Required Experience:
IC
DescriptionNature of Work: This position typically reports to a Manager Fiscal & Business Administration Safety Compliance Manager or other appropriate supervisor of a department or clinic with responsibility for insurance claims. To be successful in this non-exempt position the Insurance Specialist...
DescriptionNature of Work: This position typically reports to a Manager Fiscal & Business Administration Safety Compliance Manager or other appropriate supervisor of a department or clinic with responsibility for insurance claims. To be successful in this non-exempt position the Insurance Specialist must have knowledge of insurance related processes and terminology release of records law and data management and tracking computer systems as well as applicable confidentiality and HIPAA laws and university/departmental policies and procedures. This position requires good written and oral communication skills in order to effectively interact with insured individuals claimants medical and other service providers insurance company representative
This position is time limited. This position requires a level II background check.
ResponsibilitiesReferral Management
- Phone reception/answering main line and routing calls or follow-up as appropriate both within the ES program staff and/or to other university or community entities based on the inquiry.
- Receive review and process referrals from families healthcare providers schools and community agencies.
- Maintain accurate records of referral documents and records.
- Communicate with families to briefly explain program services and ensure families are still interested in moving forward with the process.
- Ensure compliance with timelines and documentation standards set by state and federal guidelines.
- Collect and verify demographic medical and developmental information to initiate the intake process.
- Serve as the first point of contact for families providing compassionate guidance throughout the intake process.
- Process medical all medical records requests from FL DOH attorneys and families.
Intake and insurance verification/consent to bill
- Conduct the Intake process for all families referred to the program.
- Send consent to bill insurance paperwork to families via the parent portal.
- Verify childs insurance information provided by the family and update the medical records to reflect.
Scheduling evaluations
- Schedule developmental evaluations re-evaluations and ADOS evaluations in collaboration with SCs and multidisciplinary teams.
QualificationsThis position requires a high school diploma or equivalent with one to three years of relevant experience. Appropriate college coursework or vocational/technical training may substitute at an equivalent rate for the required experience. Proficiency with word processing and spreadsheet or database software preferred.
Senate Bill 1310- The Florida Senate ( is conditional upon meeting all employment eligibility requirements in the U.S.
SB 1310: Substitution of Work Experience for Postsecondary Education Requirements
A public employer may include a postsecondary degree as a baseline requirement only as an alternative to the number of years of direct experience required not to exceed:
(a) Two years of direct experience for an associate degree;
(b) Four years of direct experience for a bachelors degree;
(c) Six years of direct experience for a masters degree;
(d) Seven years of direct experience for a professional degree; or
(e) Nine years of direct experience for a doctoral degree
Related work experience may not substitute for any required licensure certification or registration required for the position of employment as established by the public employer and indicated in the advertised description of the position of employment.
Required Experience:
IC
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