University of Denver - Denver, CO

posted 4 months ago

Part-time - Mid Level
Denver, CO
Educational Services

About the position

The Senior Healthcare Administrative Specialist - Insurance Coordinator at the University of Denver's Health & Counseling Center (HCC) plays a crucial role in ensuring the financial success and operational efficiency of the center. This position is responsible for providing high-quality service to both internal and external customers, addressing patient inquiries, and resolving issues related to insurance and billing. The individual in this role will demonstrate leadership and initiative, guiding other Healthcare Administrative Specialists while performing essential functions such as patient enrollment, verification of insurance coverage, claim preparation, compliance documentation, and patient billing. The HCC is dedicated to enhancing student well-being through inclusive healthcare services, and the Insurance Coordinator will contribute to this mission by managing insurance processes, ensuring that services rendered are covered under patients' insurance plans, and facilitating effective communication with patients regarding their billing inquiries and payment options. The role also involves preparing and submitting insurance claims, generating invoices, and reconciling payments, all while maintaining compliance with relevant regulations and guidelines. In addition to insurance duties, the position encompasses health information management, where the coordinator will assist in maintaining accurate records and data necessary for care delivery and quality assessment. The role requires collaboration with healthcare providers to ensure accurate billing and to address any related issues. The Insurance Coordinator will also support the HCC's IT operations, providing end-user support and maintaining billing software and electronic health record systems. This position is vital for the smooth operation of the HCC, ensuring that all administrative tasks are performed efficiently and effectively to support the center's mission of providing quality healthcare to students.

Responsibilities

  • Verify patients' insurance coverage and benefits before services are provided.
  • Handle processing of new insurance enrollments and changes to existing policies.
  • Communicate with patients regarding billing inquiries and payment options.
  • Prepare and submit insurance claims to various health insurance providers.
  • Generate and send out bills and invoices to patients for services rendered.
  • Record and reconcile payments received from insurance companies and patients.
  • Handle denied or rejected claims by investigating reasons for denial and resubmitting claims.
  • Ensure compliance with all relevant regulations and guidelines, maintaining accurate documentation.
  • Work closely with healthcare providers to obtain necessary information for accurate billing.
  • Prepare regular financial reports related to billing activities.

Requirements

  • Associate degree or 2-5 years customer service in a healthcare environment.
  • 2-5 years of previous experience in health insurance, customer service, or administrative roles.
  • Working knowledge of medical billing and coding.
  • Understanding of federal and state insurance regulations, including the Affordable Care Act (ACA).
  • Knowledge of health insurance enrollment processes and procedures.

Nice-to-haves

  • Bachelor's Degree in healthcare administration, business, or related fields.
  • Experience with different types of health insurance plans, including HMOs, PPOs, and Medicare/Medicaid.
  • Experience in medical coding and terminology.
  • Experience in Electronic Medical Record software.
  • Certifications such as Certified Health Insurance Specialist (CHIS) or Certified Employee Benefits Specialist (CEBS).

Benefits

  • Medical insurance
  • Dental insurance
  • Retirement plan
  • Paid time off
  • Tuition benefit
  • ECO pass
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