Tampa Family Health Centers

• Verify patient insurance coverage and benefits eligibility using the EPIC Real Time Eligibility module • Communicate with patients, healthcare providers, and insurance companies to obtain necessary information • Coordinate with clinical staff and operations teams to ensure required documentation is available for insurance verification • Update patient insurance information within the EPIC system as needed • Follow up on issues related to insurance verification and claim submission • Navigate payer websites and online tools to confirm coverage details • Resolve patient billing and insurance inquiries and disputes • Educate patients regarding insurance coverage, benefits, and financial obligations • Maintain accurate documentation for reporting and audit purposes • Report trends, issues, and optimization opportunities to Revenue Cycle Management leadership • Ensure compliance with privacy, confidentiality, and healthcare regulations

Role Description The Insurance Verification Specialist is responsible for verifying patient insurance coverage and benefits to ensure accurate billing and claims processing. This role involves interacting with patients, clinicians, and insurance companies to obtain and confirm necessary information. The specialist will also manage and update patient insurance information in the system, ensuring compliance with all relevant regulations. - Verify patient insurance coverage and benefits eligibility using the EPIC Real Time Eligibility module. - Interact with patients, healthcare providers, and insurance companies to obtain necessary information. - Coordinate with clinical staff and operations to ensure all required documentation for insurance verification is available. - Update insurance and patient information in the EPIC system as necessary. - Follow up on any issues related to insurance verification and claim submission. - Navigate insurance company websites and online tools to confirm details of coverage. - Resolve patient billing and insurance inquiries and disputes. - Communicate with patients regarding their insurance coverage and benefits including financial obligations. - Comply with all privacy and confidentiality rules and regulations. - Document in record of all interactions for reporting and audits. - Communicate with Revenue Cycle Management (RCM) Leadership to report trends, issues, and system optimization opportunities. Qualifications - High School Diploma or Equivalent. - EPIC Certification preferred but not required. - Minimum of 1 year of experience in insurance verification with FQHC experience preferred but not required. - Proven work experience as an Insurance Verification Specialist or similar role in healthcare setting. - Excellent understanding of insurance benefits and eligibility, medical terminology, and coding specific to Ins. Verification. - Proficiency in Real Time Eligibility and payer portal navigation. - Ability to work independently and manage time effectively to achieve daily productivity measures. - Excellent verbal and written communication skills. - High level of accuracy and attention to detail. Requirements - Frequently required to sit; occasionally required to stand and walk. - Frequently required to talk and/or communicate both expressively & receptively. - Occasionally required to lift and/or move up to 25 pounds. - Occasionally required to bend, twist, climb, and reach. - Moderate concentration/intensity, which includes prolonged mental effort with limited opportunity for breaks. - Normal memory, taking into consideration the amount and type of information. - Moderate level of complexity for decision making. - Must be able to handle normal levels of intensity. Work Environment - This position is 100% remote, with occasional in-office attendance as required. - May be exposed to infectious waste, diseases, conditions, etc., including viruses. - The noise level in the work environment is usually moderate to loud. - May work in open areas at times and exposed to various distractions. Organizational Competencies - Respectful and Courteous to Others: Employees refrain from disruptive and disrespectful behaviors that could be offensive to patients and employees, potentially creating a disruptive work environment. - Upholds Confidentiality of All Sensitive Data: Employees respect the rights of privacy of our patients and employees, including adhering to all HIPAA compliance regulations. - Values Cultural Differences: Employees are courteous and respectful in interactions with employees, patients, and our community. - Responsive: Employees respond quickly, graciously, and appropriately to employees and patients. - Clear and Effective Communication: Employees are personally accountable to foster positive and clear communication with all employees and patients. - Teamwork and Adaptability: Employees contribute positively to the Tampa Family Health Centers team and are committed to treating others with courtesy, honesty, and respect. Exhibits ability to handle and adapt to changing work environments or unexpected events. Ability to change methods approach to best fit situations.

Role Description The Coding Supervisor plays a pivotal role in promoting coding accuracy and clinical documentation excellence across the organization. This position requires a proactive professional who can foster strong, collaborative relationships across departments and service lines. The Coding Supervisor provides targeted education and feedback to providers and coding staff. Responsibilities include: - Identify and address coding/documentation improvement opportunities, concerns, and trends; develop and implement action plans with measurable outcomes. - Design, facilitate, and evaluate coding and documentation efforts to ensure optimal outcomes and compliance with internal, state, federal, and third-party guidelines. - Conduct internal quality reviews, track and report findings, and collaborate with providers and staff to improve documentation and coding practices. - Serve as a subject matter expert in coding and documentation for assigned departments and specialties. - Assist in resolving coding and documentation queries and communicate updates to providers. - Attend department meetings to provide coding and documentation guidance. - Create monthly specialty-specific reports and communicate updates to providers. - Research industry standards and trends to support coding and documentation practices. - Maintain current knowledge of coding, compliance, and documentation guidelines. - Promote documentation improvement and accurate charge capture. Qualifications - High School Diploma required; bachelor’s degree preferred (or equivalent combination of education and experience). - Completion of an accredited or approved coding program. - Clinical licensing and experience welcomed. - Required: CPC (Certified Professional Coder) – AAPC or CCA (Certified Coding Associate) – AHIMA. - Preferred: CCS-P (Certified Coding Specialist – Physician) – AHIMA. Requirements - Minimum 2 years of experience in RCM with a focus on coding and charge capture. - FQHC setting preferred (but not required). - Minimum 2 years EMR experience (Epic preferred). - Minimum of 3 years multi-specialty coding experience (5+ years preferred). - Experience using Microsoft Office suite with intermediate Excel skills. - Excellent written and verbal communication skills, including grammar, punctuation, and style. - Comfort presenting to large and small groups. - Advanced knowledge of medical terminology, anatomy, physiology, disease processes, medications, and laboratory values. - Ability to analyze data and apply insights to work-related situations. - Remote role with varied travel required. Physical & Mental Demands - Frequently required to sit; occasionally required to stand and walk. - Frequently required to communicate both expressively and receptively. - Occasionally required to lift and/or move up to 25 pounds. - Occasionally required to bend, twist, climb, and reach. - Moderate concentration and prolonged mental effort with limited breaks. - Normal memory demands based on volume and type of information. - Moderate complexity in decision-making. - Ability to handle normal levels of intensity. Work Environment - Primarily remote with occasional in-office attendance as needed. - May be exposed to infectious waste, diseases, and viruses. - Noise levels may range from moderate to loud. - May work in open environments with potential distractions. Organizational Competencies - All staff are expected to uphold the mission, vision, values, policies, and procedures of Tampa Family Health Centers, including the Code of Ethics and Compliance Plan. Core Expectations - Respectful and Courteous to Others: Maintain professionalism and avoid disruptive or disrespectful behaviors. - Upholds Confidentiality: Protect sensitive patient and employee data and adhere to HIPAA regulations. - Values Cultural Differences: Demonstrate respect in interactions with patients, colleagues, and the community. - Responsive: Respond promptly and appropriately to patients and team members. - Clear and Effective Communication: Foster positive, transparent communication. - Teamwork and Adaptability: Contribute positively to the team and adapt to changing environments and priorities.