Insurance Coordinator
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Posting Details
Position Information
Job Title Insurance Coordinator
Union Level
Department Dental Administration
Campus Sacramento
Posting Number 201304314P
Full or Part Time Full Time
Number of Months 12
Work Schedule
Position End Date
Open Date
Close Date
Open Until Filled No
Special Instructions to Applicants For Applicants Seeking Job Opportunities within the University
Internal: Internal applicants will be considered within the first five (5)
business days of the posting period.
External: External applicants will be considered on the sixth (6) business
day of the posting period.
Sponsorship This position is not eligible for a visa sponsorship now or in the future.
Position Summary Information
Primary Purpose Under the supervision of the Clinic Manager, processes insurance claims and performs other related duties to include auditing of patient charts, posting of insurance payments, and collections referrals.
Essential Functions
Perform daily audit of all patient health records to ensure financial
accuracy and the presence of complete treatment documentation; initiate
process of necessary corrections and communicate errors to the appropriate
student, faculty, or staff member; request additional information and/or
documentation as needed.
Prepare and generate insurance claims for hard copy submission or batch
electronic claims for electronic submission.
Respond to requests from insurance companies for additional information
and/or required documentation for pending claims; work with appropriate
personnel to facilitate resolution.
Post and allocate insurance payments timely and accurately based on
explanation of benefits.
Initiate refund requests to insurance companies due to incorrect
processing of claims. Accurately process all financial recoups in a timely
manner with thorough documentation.
Generate and review accounts receivables reports; analyze information to
determine appropriate financial write offs and adjustments, validity of
insurance denial reasons, and patient financial responsibility; determine
collectable balances and resolve appropriately; identify, audit, and refer
delinquent accounts for collections.
Review documentation and claims for accuracy in order to facilitate timely
reimbursement of claims to include but not limited to private and
government insurance programs, patient contracts, and special grant
projects.
Communicate insurance and policy requirement and regulations, reference
materials and CDT updates to appropriate personnel; collaborate with
internal and external clinics to establish constructive methods and
procedures.
Assist and provide guidance to students, residents, faculty, and staff
regarding efficient and compliant CDT coding.
Support processing needs of special grant programs and special discounts
offered annually during mock boards.
Perform all other duties as assigned by the Clinic Manager and/or Director
of PHCC
University of the Pacific recognizes that diversity, equity, and inclusion is
foundational to the success of our valued students and employees. We
prioritize policy and decision-making that demonstrates awareness of, and
responsiveness to, the ways socio-cultural forces related to race, gender,
ability, sexuality, socio-economic status, etc. impede or propel students,
faculty, and staff.
Minimum Qualifications
High school diploma or equivalent.
Three (3) consecutive years insurance billing and payment allocation in
a high-volume dental setting.
Three (3) years customer service and/or patient relations
Preferred Qualifications
Advanced private dental/medical insurance billing or general accounting
policies and procedures.
Basic accounting/billing procedures.
Intermediate level dental terminology and treatment planning.
Electronic health records software.
Basic knowledge of Microsoft Word, Excel and Outlook.
Manage multiple job priorities and tasks efficiently, effectively and
accurately while demonstrating close attention to detail.
Communicate professionally and courteously with faculty, residents,
students, patients and staff.
Maintain confidentiality of materials and information.
Research and/or resolve financial conflicts with insurance companies and
patient accounts.
Support and contribute to a positive and productive team environment.
Basic knowledge processing public dental insurance claims.
Knowledge of medical terminology.
Vocational or other training in the dental field highly desirable.
Experience and sensitivity in working with people of diverse backgrounds
and cultures.
Demonstrated experience in advancing social justice, equity, and inclusion
in a university setting.
Ability to engage and integrate culturally responsive practices and
knowledge in their work.
Advanced private dental/medical insurance billing or general accounting
policies and procedures.
Experience and sensitivity in working with people of diverse backgrounds
and cultures.
Demonstrated experience in advancing social justice, equity, and inclusion
in a university setting.
Ability to engage and integrate culturally responsive practices and
knowledge in their work.
Physical Requirements The physical demands described here are representative but not definitive of those that must be met by an employee to successfully perform the essential functions of this job.
Work performed is primarily general office/administrative with frequent
use of computer keyboard, mouse, and telephone; requires sitting majority
of the working day.
Occasional reaching, bending, standing and walking.
Hiring Range $22.68 - $30.04 per hour We consider factors such as, but not limited to, scope and responsibilities of the position, candidate's qualifications, internal equity, as well as market and organizational considerations when extending an offer.
Background Check Statement All applicants who receive a conditional offer of employment are required to execute a release and authorization for a background screening.
AB 810 Misconduct Disclosure Requirement: University of the Pacific
complies with California Assembly Bill 810, requiring candidates accepting
conditional job offers to disclose any final administrative or judicial
findings, ongoing proceedings, allegations, resignations under investigation,
or appeals related to sexual harassment or misconduct within the past seven
years.
Anti-Discrimination/EEO Policy Statement University of the Pacific is an equal opportunity employer dedicated to workforce diversity across backgrounds, experiences, and viewpoints. Pacific does not unlawfully discriminate in its hiring of faculty and staff, or in the provision of its employment benefits to its faculty and staff on the basis of race, color, religion, national origin, ancestry, age, genetic information, sex/gender, marital status, military and veteran status, sexual orientation, medical condition, pregnancy, gender identity, gender expression, or mental or physical disability, or other legally protected characteristics or combination of such characteristics. While we strive to attract a broad and representative pool of candidates, all hiring decisions are made based on merit, selecting the most qualified individual for each position.
Posting Specific Questions
Required fields are indicated with an asterisk ().
Do you have a high school diploma?
Yes
No
Do you have at least three (3) years of dental insurance billing experience in a group practice or dental school setting?
Yes
No
Do you have three (3) or more years of customer service experience?
Yes
No
Pacific participates in federal healthcare programs. As such, a required part of the hiring process is to verify that potential employees have not been excluded from participating in federal programs for mandatory exclusions (including for fraud, controlled substances crimes, patient abuse or neglect, or other program-related crimes) or for other permissive exclusions by the Office of Inspector General. A "Yes" response would be considered disqualifying. Please answer the following question accordingly: Are you currently excluded from participation in federal programs (including Medicare, Medicaid, or any other federal healthcare program)?
Yes
No
Pacific participates in federal healthcare programs. As such, a required part of the hiring process is to verify that potential employees have not been excluded from participating in federal programs for mandatory exclusions (including for fraud, controlled substances crimes, patient abuse or neglect, or other program-related crimes) or for other permissive exclusions by the Office of Inspector General. A "Yes" response would be considered disqualifying. Please answer the following question accordingly: Have you received notice that you are under review for possible exclusion from any federal programs (including Medicare, Medicaid, or any other federal healthcare program)?
Yes
No
Pacific participates in federal healthcare programs. As such, a required part of the hiring process is to verify that potential employees have not been excluded from participating in federal programs for mandatory exclusions (including for fraud, controlled substances crimes, patient abuse or neglect, or other program-related crimes) or for other permissive exclusions by the Office of Inspector General. A "Yes" response would be considered disqualifying. Please answer the following question accordingly: Are you currently excluded from participation in federal programs (including Medicare, Medicaid, or any other federal healthcare program)?
Yes
No
Applicant Documents
Required Documents
Resume
Cover Letter/Letter of Application
Optional Documents
Other Document
Other Document 2
Other Document 3
