Student Insurance Coordinator

University of the Pacific; Stockton (CA); On-site; USD 32,000 - 45,000; Full time

Job summary

University of the Pacific is seeking a Student Insurance Coordinator to implement and manage the student health insurance plan across three campuses. The role involves enrollment processing, premium accounting, and direct collaboration with insurance carriers and campus offices.

The ideal candidate will have strong medical billing/coding experience, Excel proficiency, and the ability to present insurance requirements and liaise with diverse stakeholders on campus locations in California.

Qualifications

• High School Diploma or GED required.
• 2 years in medical billing, coding, AR or customer service.
• Knowledge of PPO/HMO/EPO and insurance verification.
• Medical Coding and Billing training within 1 year of hire.
• Proficient in Excel or complete training within 6 months.

Responsibilities

• Documents and processes waivers for all students on all campuses and records findings.
• Processes enrollment for students across campuses with carrier systems and internal programs.
• Checks billings, submits claims, and generates financial reports using medical coding knowledge and Excel.
• Maintains insurance premiums accounting records with Student Accounts.
• Onboards staff and updates Point N Click as needed.
• Updates Provident Dispensary list and pricing for billing.
• Maintains communication with the carrier to resolve disputes.
• Gathers forms, verifies information and resolves plan-related issues.
• Gives presentations on university insurance requirements across campuses.
• Acts as liaison among students, schools, departments and insurance reps.
• Monitors processes for accuracy and regulatory compliance.
• Rebills for denials on claims.
• Performs other related duties as assigned.

Skills

Medical billing

Coding

Insurance verification

Customer service

Healthcare accounting

Education

Bachelor's Degree

Certified Revenue Cycle Representative Certification

Medical Billing & Coding training

Tools

Microsoft Excel

Point N Click

Job description

Student Insurance Coordinator

Primary Purpose: Under general supervision, the Student Insurance Coordinator is responsible for the implementation and management of the University Student Health Insurance plan across three campuses.

Pacific offers full-time employees a unique opportunity to live on our beautiful campus at below-market rental rates - helping you save time and money on your commute.

Essential Functions

• Documents and processes waivers for all students on all campuses verifying eligibility, coverage, deductible, status, etc. and enters findings into appropriate Health Services tracking and medical management programs.
• Processes and reconciles enrollment for students from all campuses in concert with insurance carrier's secure site and/or personnel, Health Services medical management programs, and financial management programs. Manually enrolls international students into all tracking systems.
• Checks billings for accuracy, submits claims, and generates reports for financial tracking of checks and payments utilizing knowledge of medical coding and Excel spreadsheets. Reconciles payments from insurance carrier.
• Monitors and maintains the insurance premiums accounting record in conjunction with the appropriate Student Accounts office across all three campuses. Provides back up detail for premium account reconciliation.
• Assists with electronic on-boarding of new staff members, providing access to Point N Click and acting as liaison with Pacific Technology. Is responsible for updates to Point N Click software when Pac Tech staff is not available.
• Responsible for updating the Point N Click Dispensary to ensure medication list and prices are accurate for billing.
• Maintains direct communication with the insurance carrier to resolve claim disputes.
• Maintains record, prepares forms, verifies information and resolves issues requiring knowledge of the insurance plan.
• Gives presentations regarding University insurance requirements, Health Services, and the benefits of the student insurance plan on all three campuses.
• Acts as liaison between student, school, other University departments and insurance company representatives.
• Monitors Insurance processes to ensure accuracy and adherence to industry, state and federal guidelines.
• Rebills for denials on claims.
• Performs other related duties as assigned or requested.

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 the ways socio-cultural forces related to race, gender, ability, sexuality, socio-economic status, etc. impede or propel students, faculty, and staff.

Minimum Qualifications

• High School Diploma or GED
• Two (2) years of work experience in medical billing and coding, accounts receivable, and customer service, or a combination of education and relevant experience.
• Knowledge of health insurance types (PPO, HMO, EPO, Medicare), insurance terminologies, insurance verification, and various plan interpretations.
• Medical Coding and Billing training within 1 (one) year of hire.
• Proficient in Microsoft Excel or completion of training class within six (6) months of hire.

Preferred Qualifications

• Bachelor's Degree
• Certified Revenue Cycle Representative Certification
• Five (5) or more years of experience in medical billing and coding accounts receivable, and customer service, or a combination of education and relevant experience
• 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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This is an in-person role, and the successful candidate must be willing to relocate within California, preferably within 25 miles of the Stockton Pacific campus.

Work performed in typical office environment. Duties require constant sitting and repetitive motion while using computer keyboard and phone. Occasional walking, standing and simple grasping. Occasional climbing stairs, walking across campus, stooping and reaching. Constant communication using both spoken and written means. May be required to lift up to 25 lbs.

Work Environment/Work Week/Travel: Work is primarily performed in a standard office environment. Work performed during standard business hours. Some occasional travel to other campuses may be required.

Valid driver's license required. Incumbent must also be able to meet the University's fleet rules and be eligible to drive for University business. The University and its insurance carrier reserve the right to exclude applicants based on their driving record.

Hiring Range

$28.00 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.

Background Check and Disclosure

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.