Center for Health Care Strategies
Center for Health Care Strategies
Center for Health Care Strategies is a U.S.-based healthcare consulting and policy organization focused on improving outcomes and advancing health equity, especially for people served by Medicaid. Its work addresses complex health and social needs, mental health, substance use, aging and disability, and the coordination of Medicare and Medicaid services. Through cross-sector partnerships, community engagement, leadership development, and capacity building, the organization supports healthcare delivery reform, value-based payment models, trauma-informed care, and primary care innovation.

Insurance Specialist – Pensacola, FL (Hybrid)

Manage insurance verification, financial assistance, billing documentation, and patient account support for Nemours Children’s Health in Pensacola. Work with patients, families, guarantors, partner hospitals, and healthcare providers to support accurate and timely account resolution.

Description

  • Assess patients’ insurance status and help confirm coverage eligibility to support timely, accurate billing
  • Review partner hospital electronic health records to verify insurance eligibility and track account updates
  • Apply appropriate insurance coverage or eligible charity care programs within timely filing requirements
  • Verify and document patient demographic and insurance information accurately
  • Contact guarantors for required information and coordinate with partner hospitals
  • Track account documentation, insurance verification, deposits, and self-pay balances
  • Provide support and guidance to associates, including coverage for Family Financial Advocate responsibilities
  • Prepare cost estimates for patients and providers and approve discounts under organizational and government policies
  • Assess the finances of uninsured and underinsured patients and help with federal, state, and local program applications
  • Confirm accounts have sufficient supporting documentation and are ready for billing within established deadlines
  • Help patients and families access private and government funding resources
  • Conduct financial interviews and follow hospital financial resolution policies
  • Address financial-services concerns and explain payment rights, responsibilities, and procedures to patients and guarantors
  • Prepare patient responsibility estimates and collect applicable amounts
  • Manage inbound and outbound customer service, account inquiry, coverage, and eligibility calls
  • Coordinate with specialty clinics and physician offices
  • Assist with scheduling and complete other assigned projects and duties

Requirements

  • Associate degree or an equivalent combination of education, training, and experience
  • At least three years of hospital experience with working knowledge of patient accounting, including pre-admission and admission registration, may substitute for an associate degree
  • At least one year of Family Financial Advocate experience, plus registration, insurance, billing, or related experience, is required for FA I
  • Strong customer service, communication, and problem-solving abilities
  • Knowledge of healthcare insurance, reimbursement methods, and revenue cycle operations
  • Experience with electronic health record systems and patient account management is preferred
  • Background checks may be required for access to partner hospital electronic health records

Benefits

  • Base compensation positioned in the top quartile of the market
  • Annual incentive compensation recognizing clinical activity, academic accomplishments, and quality improvement
  • Comprehensive health, life, dental, and vision coverage
  • 403(b) retirement plan with employer matching
  • Allowance for licensure, continuing medical education, and professional dues
  • Not-for-profit status with potential eligibility for Public Service Loan Forgiveness
  • No state income tax for employees living and working in Florida
  • Moderate state tax structure for employees based in Delaware

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