Insurance Coordinator

Insurance Coordinator

Primary Purpose:
Under the supervision of the Patient Financial Services Manager, processes insurance claims and performs other related duties to include auditing of patient charts, posting of insurance payments, and collections referrals.

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 sociocultural forces related to race, gender, ability, sexuality, socioeconomic status, etc. impede or propel students, faculty, and staff.

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 Patient Financial Services Manager.

Minimum Qualifications:
Knowledge of:

• 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.
  
  

Experience:

• Minimum of two years insurance billing in a high-volume dental setting.

Education:

• High school diploma or equivalent.

Preferred Qualifications:
Ability to:

• 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.
  
  

Experience:

• Basic knowledge processing public dental insurance claims.
• Knowledge of medical terminology.

Education:

• Vocational or other training in the dental field highly desirable.

Other:

• 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: 34.26

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.



To apply, visit https://pacific.peopleadmin.com/postings/32157









Copyright ©2025 Jobelephant.com Inc. All rights reserved.

Posted by the FREE value-added recruitment advertising agency

jeid-809d84d9d3cd7e4bb58f925bb0335345

 

Jobs at The University of the Pacific.

When inquiring or applying for positions at The University of the Pacific, please also reference AcademicCareers.com

Applicants with dual-career considerations can find university jobs such as professor jobs, dean jobs, chair / department head jobs, and other faculty jobs and employment opportunities at The University of the Pacific and at other institutions of higher education in the region on www.AcademicCareers.com

To receive email alerts when new jobs at The University of the Pacific are posted, please sign up at new job openings at The University of the Pacific.