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HomeCompaniesEpyz Fa Us2 Oraclecloud Com CX 1Medical 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

FieldValue
CompanyEpyz Fa Us2 Oraclecloud Com CX 1
TitleMedical Reimbursement Specialist
Normalized title-
Department / teamNon-Clinical Support Staff
LocationJacksonville, FL, United States
Work modelHybrid / Hybrid
Employment typeFull Time
Salary$2
Statusactive
ATS providerOracle Recruiting Cloud / Fusion HCM
Posted / first seen2026-05-18 / 2026-05-31
Changed / last seen2026-06-02 / 2026-06-06

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PageWhat it containsOpen
Company jobsActive postings from Epyz Fa Us2 Oraclecloud Com CX 1.Open
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ATS provider jobsActive postings observed through Oracle Recruiting Cloud / Fusion HCM.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Jacksonville.Open
Department jobsActive postings in Non-Clinical Support Staff.Open
Work model jobsActive Hybrid postings.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

CompanyEpyz Fa Us2 Oraclecloud Com CX 1
Source33765cd5-bb38-449a-a3ec-543199f8ef3c
ATS providerOracle 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 IDdb73d0aa20582a413a48636b805eda5353d4b391
Org ID31e11227-fb20-428d-ad47-6e0fc533f578
Source ID33765cd5-bb38-449a-a3ec-543199f8ef3c
Board ID33765cd5-bb38-449a-a3ec-543199f8ef3c
Provideroracle_hcm
Provider Job Key18877
TitleMedical Reimbursement Specialist
Normalized Title
Statusactive
Activeyes
Location TextJacksonville, FL, United States; Nemours Children's Health, Home Office, Jacksonville, FL, US
DepartmentNon-Clinical Support Staff
Team
Employment Typefull_time
Workplace Typehybrid
Remote Policyhybrid
CountryUnited States
RegionFL
CityJacksonville
Salary RawDescription 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 Min1.7
Salary Max
Salary CurrencyUSD
Salary Period
Source URLhttps://epyz.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/18877
Apply URLhttps://epyz.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1/job/18877
First Seen At2026-05-31 17:58:12Z
Last Seen At2026-06-06 19:49:52Z
Last Checked At2026-06-06 19:49:52Z
Last Changed At2026-06-02 11:53:45Z
Inactive At
Source Posted At2026-05-18 13:34:07Z
Source Updated At
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Extensions
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