Insurance Operations Coordinator

University of California - Los Angeles (UCLA); Los Angeles (CA); On-site; USD 55,000 - 85,000; Full time

Job summary

UCLA's Faculty Group Dental Practice in Los Angeles seeks an Insurance Operations Coordinator to manage insurance-related workflows within a busy dental office. You will handle claim billing, patient account audits, and denials resubmissions, while serving as the main contact for practitioners and patients on coverage and benefits.

The role requires precise data entry, clear communication, and the ability to adapt to fast-paced changes.

Qualifications

• Knowledge of dental terminology and procedures for general dentistry and all specialties.
• Data entry skills to enter accurate patient and insurance information and payments.
• Skill in effectively communicating with patients, co-workers and faculty.
• Ability to adapt to frequent interruptions and changes in work assignments and to prioritize work in a complex, high-volume, fast-paced environment.
• Ability to interact with people in a way that reflects the customer-focused approach of the practice.
• Demonstrated skill in analyzing information, situations and procedures to define problems, formulate and appropriately rectify concerns.
• Demonstrated knowledge of what constitutes confidential information and skill in maintaining confidentiality with regard to patient, faculty and staff information.
• Ability to organize work and determine priorities.

Responsibilities

• Insurance Management - Oversees the billing of dental claims, audits patient accounts, and processes claim resubmissions for denials or errors.
• Patient Counseling - Acts as the primary point of contact in the Faculty Group Dental Practice for practitioner and patient inquiries regarding insurance coverage, benefits, and claims.
• Office Support - Provides backup support as needed and assists with additional tasks assigned by the Practice Manager.

Skills

Dental terminology

Data entry

Communication skills

Prioritization

Confidentiality

Customer-focused approach

Problem analysis

Organizational skills

Job description

Department Summary

Aspiring to be a community of faculty, staff, students and patients, where a sense of belonging and respect is felt by all, is a culture that's deeply ingrained into our daily actions. And encouraging an environment of engagement and productive dialogue helps to foster our core values of compassion, tolerance, and mutual respect.

Position Summary

The Insurance Operations Coordinator plays a key role in the Faculty Group Dental Practice, which includes over 25 general dentists and specialists. This position is responsible for three primary functions: Insurance Management - Oversees the billing of dental claims, audits patient accounts, and processes claim resubmissions for denials or errors. Ensures that overpayments by patients or insurance companies are identified and reported to the Practice Manager and Practice Director for timely reimbursement. Patient Counseling - Acts as the primary point of contact in the Faculty Group Dental Practice for practitioner and patient inquiries regarding insurance coverage, benefits, and claims. Office Support - Provides backup support as needed and assists with additional tasks assigned by the Practice Manager. This role requires strong attention to detail, excellent communication skills, and the ability to effectively manage insurance-related processes within a fast-paced dental practice.

Salary & Compensation

*UCLA provides a full pay range. Actual salary offers consider factors, including budget, prior experience, skills, knowledge, abilities, education, licensure and certifications, and other business considerations. Salary offers at the top of the range are not common. Visit UC Benefit package to discover benefits that start on day one, and UC Total Compensation Estimator to calculate the total compensation value with benefits.

Qualifications

• Knowledge of dental terminology and dental procedures for general dentistry and all specialties. (Required)
• Demonstrated data entry skills to enter accurate patient and insurance information and payments. (Required)
• Skill in effectively communicating with patients, co-workers and faculty. (Required)
• Ability to adapt to frequent interruptions and changes in work assignments and to prioritize work in a complex, high-volume, fast-paced environment. (Required)
• Ability to interact with people in a way that reflects the customer-focused approach of the practice. (Required)
• Demonstrated skill in analyzing information, situations and procedures to define problems, formulate and appropriately rectify concerns. (Required)
• Demonstrated knowledge of what constitutes confidential information and skill in maintaining confidentiality with regard to patient, faculty and staff information. (Required)
• Ability to organize work and determine priorities. (Required)

Special Conditions for Employment

• Background Check: Continued employment is contingent upon the completion of a satisfactory background investigation.
• Live Scan Background Check: A Live Scan background check must be completed prior to the start of employment.
• Age Requirement: Candidate(s) must be 18 years or older to be eligible to be hired.
• TB Test: Continued employment is contingent upon the completion of a satisfactory TB test.
• COVID and Flu Vaccinations: The position is subject to providing evidence of inoculation.
• CANRA: The position is designated as a mandatory reporter under CANRA. The employee must sign the "Statement Acknowledging Requirement to Report Child Abuse".

Schedule

8:00 a.m. to 5:00 p.m.

Union/Policy Covered

EX-Patient Care Technical

Complete Position Description

https://universityofcalifornia.marketpayjobs.com/ShowJob.aspx?EntityID=38&jobcode=40093594