Home › Companies › Epyz Fa Us2 Oraclecloud Com CX 1 › Medical Reimbursement Specialist
Medical Reimbursement Specialist
Epyz Fa Us2 Oraclecloud Com CX 1 · Jacksonville, FL, United States; Nemours Children's Health, Home Office, Jacksonville, FL, US · Hybrid · Active · $2 · Oracle Recruiting Cloud / Fusion HCM
Job facts
| Field | Value |
|---|---|
| Company | Epyz Fa Us2 Oraclecloud Com CX 1 |
| Title | Medical Reimbursement Specialist |
| Normalized title | - |
| Department / team | Non-Clinical Support Staff |
| Location | Jacksonville, FL, United States |
| Work model | Hybrid / Hybrid |
| Employment type | Full Time |
| Salary | $2 |
| Status | active |
| ATS provider | Oracle Recruiting Cloud / Fusion HCM |
| Posted / first seen | 2026-05-18 / 2026-05-31 |
| Changed / last seen | 2026-06-02 / 2026-06-06 |
Related slices
| Page | What it contains | Open |
|---|---|---|
| Company jobs | Active postings from Epyz Fa Us2 Oraclecloud Com CX 1. | Open |
| Company breakdowns | Role, location, ATS, and work model facets for this company. | Open |
| ATS provider jobs | Active postings observed through Oracle Recruiting Cloud / Fusion HCM. | Open |
| Provider filtered search | The same provider as a filtered job collection. | Open |
| City jobs | Active postings in Jacksonville. | Open |
| Department jobs | Active postings in Non-Clinical Support Staff. | Open |
| Work model jobs | Active Hybrid postings. | Open |
| Lifecycle events | Open, update, close, and reopen events for this posting. | Open |
| Original posting | Canonical source or apply URL captured from the ATS. | Open |
Linked records
| Company | Epyz Fa Us2 Oraclecloud Com CX 1 |
| Source | 33765cd5-bb38-449a-a3ec-543199f8ef3c |
| ATS provider | Oracle Recruiting Cloud / Fusion HCM |
Description
Description
Nemours is seeking a Medical Reimbursement Specialist in Jacksonville, FL
This position is responsible for effective follow up on accounts / invoices for assigned Payors resulting in payment or final adjustment. Proficiency in assigned Payors billing and payment guidelines is required, to ensure the departmental collection goals are met or exceeded as established by management.
Essential Functions
• Work accounts / invoices until all charges are paid or denied by the insurance carrier.
• Process insurance / patient correspondence, deductibles, medical records request, non-covered services, adjustments and appeals.
• Process request for adjustments, account type changes, guarantor merges, and transfers when
necessary according to enterprise guidelines.
• Accurately enter patient demographics, guarantor and coverage information into Epic system.
• Accurately perform retroadjudication, change filing order, request necessary adjustments /
reversal of adjustments, or refile claims.
• Distribute payments for assigned financial class to ensure payments are posted to correct service
dates and request changes if needed.
• Identify and report payor trends and issues in order to effect timely resolution.
• Know and use data entry ground rules, Stand Business Practice, Nemours Intranet, Managed
Care Manual and where to locate any hard copy or electronic versions.
• Keep abreast of all insurance and system changes, Payor Plan Standards, Just in Time
Learning’s, News to Use, etc.
• Demonstrate excellent customer service that promotes patient, staff and customer satisfaction,
and reflects the Mission, Vision, and Values of Nemours.
Requirements
High School Diploma 1-3 years experience
Company
Nemours Children's Health is an internationally recognized pediatric health system serving more than 1.7 million patient encounters each year. We deliver care across six states through two freestanding children’s hospitals — Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida — along with a network of more than 80 primary, urgent, and specialty care practices and more than 40 hospital partnerships.
Backed by the Nemours Foundation and Alfred I. duPont Trust, our $1.7B nonprofit system is dedicated to improving children's health through clinical care, research, education, advocacy, and prevention. Our Whole Child Health approach focuses equally on prevention and treatment, partnering with communities to help every child thrive.
Inclusion and belonging guide our strategy and growth. We are committed to culturally relevant care, reducing health disparities, and fostering an environment where every associate, patient, and family feels supported and valued.
Learn more at Nemours.org .
Full job record
| Job ID | db73d0aa20582a413a48636b805eda5353d4b391 |
| Org ID | 31e11227-fb20-428d-ad47-6e0fc533f578 |
| Source ID | 33765cd5-bb38-449a-a3ec-543199f8ef3c |
| Board ID | 33765cd5-bb38-449a-a3ec-543199f8ef3c |
| Provider | oracle_hcm |
| Provider Job Key | 18877 |
| Title | Medical Reimbursement Specialist |
| Normalized Title | — |
| Status | active |
| Active | yes |
| Location Text | Jacksonville, FL, United States; Nemours Children's Health, Home Office, Jacksonville, FL, US |
| Department | Non-Clinical Support Staff |
| Team | — |
| Employment Type | full_time |
| Workplace Type | hybrid |
| Remote Policy | hybrid |
| Country | United States |
| Region | FL |
| City | Jacksonville |
| Salary Raw | Description Nemours is seeking a Medical Reimbursement Specialist in Jacksonville, FL This position is responsible for effective follow up on accounts / invoices for assigned Payors resulting in payment or final adjustment. Proficiency in assigned Payors billing and payment guidelines is required, to ensure the departmental collection goals are met or exceeded as established by management. Essential Functions • Work accounts / invoices until all charges are paid or denied by the insurance carrier. • Process insurance / patient correspondence, deductibles, medical records request, non-covered services, adjustments and appeals. • Process request for adjustments, account type changes, guarantor merges, and transfers when necessary according to enterprise guidelines. • Accurately enter patient demographics, guarantor and coverage information into Epic system. • Accurately perform retroadjudication, change filing order, request necessary adjustments / reversal of adjustments, or refile claims. • Distribute payments for assigned financial class to ensure payments are posted to correct service dates and request changes if needed. • Identify and report payor trends and issues in order to effect timely resolution. • Know and use data entry ground rules, Stand Business Practice, Nemours Intranet, Managed Care Manual and where to locate any hard copy or electronic versions. • Keep abreast of all insurance and system changes, Payor Plan Standards, Just in Time Learning’s, News to Use, etc. • Demonstrate excellent customer service that promotes patient, staff and customer satisfaction, and reflects the Mission, Vision, and Values of Nemours. Requirements High School Diploma 1-3 years experience Company Nemours Children's Health is an internationally recognized pediatric health system serving more than 1.7 million patient encounters each year. We deliver care across six states through two freestanding children’s hospitals — Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida — along with a network of more than 80 primary, urgent, and specialty care practices and more than 40 hospital partnerships. Backed by the Nemours Foundation and Alfred I. duPont Trust, our $1.7B nonprofit system is dedicated to improving children's health through clinical care, research, education, advocacy, and prevention. Our Whole Child Health approach focuses equally on prevention and treatment, partnering with communities to help every child thrive. Inclusion and belonging guide our strategy and growth. We are committed to culturally relevant care, reducing health disparities, and fostering an environment where every associate, patient, and family feels supported and valued. Learn more at Nemours.org . |
| Salary Min | 1.7 |
| Salary Max | — |
| Salary Currency | USD |
| Salary Period | — |
| Source URL | https://epyz.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/18877 |
| Apply URL | https://epyz.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/18877 |
| First Seen At | 2026-05-31 17:58:12Z |
| Last Seen At | 2026-06-06 19:49:52Z |
| Last Checked At | 2026-06-06 19:49:52Z |
| Last Changed At | 2026-06-02 11:53:45Z |
| Inactive At | — |
| Source Posted At | 2026-05-18 13:34:07Z |
| Source Updated At | — |
| Raw Payload Uri | s3://job-postings-prod-raw-590183727216/raw/provider=oracle_hcm/board=epyz.fa.us2.oraclecloud.com|CX_1/date=2026-06-06/2026-06-06T19-49-17-124Z-1285658f1aabc0c34daaf58ea66e1462f31ed7d0bb39f5143096dded51f4f491.json |
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