Insurance Coordinator

About the role

The Insurance Coordinator processes insurance claims and performs other related duties including auditing patient charts, posting insurance payments, and collections referrals. Duties also include responding to insurance company inquiries, generating claims, and managing refunds.

Responsibilities

• Audit patient health records to ensure financial accuracy and completeness of treatment documentation
• Initiate necessary corrections and communicate errors to relevant parties
• Prepare and generate insurance claims for submission
• Respond to insurance company requests for additional information and documentation
• Post and allocate insurance payments accurately and timely
• Initiate refund requests for incorrect claim processing
• Accurately process financial recoups with thorough documentation
• Generate and review accounts receivable reports
• Analyze information to determine appropriate financial write-offs and adjustments
• Facilitate timely reimbursement of claims from various insurance programs
• Communicate insurance and policy requirements to appropriate personnel
• Collaborate with internal and external clinics to establish constructive methods and procedures
• Support processing needs of special grant programs and annual discounts
• Assist and guide students, residents, faculty, and staff on efficient and compliant CDT coding
• Perform other duties as assigned by the Clinic Manager and/or Director of PHCC

Requirements

• High school diploma or equivalent
• Three (3) consecutive years of insurance billing and payment allocation in a high-volume dental setting
• Three (3) years of customer service and/or patient relations experience

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
• 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
• 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

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.