University of the Pacific
Sacramento, CA
Insurance Coordinator 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....