UTS-Temporary Insurance Specialist at UNC Chapel Hill

NC State University; Chapel Hill (NC); On-site; USD 60,000 - 80,000; Full time

Job summary

NC State University seeks an Insurance Specialist for its UNC Chapel Hill location. This temporary role involves managing billing and reimbursement for dental insurance claims, requiring extensive knowledge of industry standards and effective communication with private insurance carriers. Experience in filing claims and understanding medical-dental coding is crucial. Join a collaborative team focused on delivering exceptional service.

Qualifications

• 1–3 years of experience filing dental insurance claims.
• Extensive communication with insurance companies required.
• Compliance with HIPAA regulations is mandatory.

Responsibilities

• File dental insurance claims and pre-treatment estimates.
• Investigate denied claims, submit appeals.
• Audit patient records for billing and coding accuracy.

Skills

Communication

Deductive Reasoning

HIPAA Compliance

Job description

UTS-Temporary Insurance Specialist at UNC Chapel Hill

This Insurance Specialist position offers both dental and medical insurance services . The Insurance Specialist works in all areas of billing and reimbursement, including private dental insurance companies and managed care organizations. This role requires specialized knowledge of insurance industry standards related to billing and reimbursement, along with a strong understanding of accounts receivable.

This position collaborates closely with private insurance carriers, particularly those contracted with the clinics. It also requires a comprehensive understanding of dental and medical terminology, dental procedural and diagnostic coding, medical-dental cross-coding, electronic claims processing, and the policies and contracts of multiple insurance vendors.

Is Time Limited

Is Time Limited Yes

If Yes, Appointment Length 11 months

Department Information

Job City & State

Department

System Information

Classification Title

Classification Title Temporary-Service Maintenance

Working Title

Working Title UTS-Temporary Insurance Specialist at UNC Chapel Hill

Position Information

Requirements and Preferences

Work Schedule

Work Schedule Monday–Friday, 8:00 AM–5:00 PM

Other Work/Responsibilities

Other duties as needed

• 1–3 years of experience filing dental insurance claims and pre-treatment estimates for private insurance plans.

Department Required Skills

• The responsibilities of this role include filing dental insurance claims and pre-treatment estimates for privately insured patients; obtaining and providing the clinical documentation necessary for claims processing, such as x-rays, chart notes, and letters of necessity;
• Investigating denied claims, following up on those investigations, and submitting appeals for those denied claims;
• Verifying essential documentation including insurance cards, insurance explanations of payment, provider narratives, and insurance consent; and regularly auditing patient records for accuracy and completeness of billing, coding, and clinical documentation
• This position will require extensive communication with various insurance companies, along with effective use of insurance portals.
• Effective communication and deductive reasoning are essential skills.
• Compliance with HIPAA regulations is mandatory.

Preferred Years Experience, Skills, Training, Education

• 1–3 years of experience filing dental insurance claims and pre-treatment estimates for private insurance plans.

Required License or Certification

N/A

Valid NC Driver's License required?

Valid NC Driver's License required? No

Commercial Driver's License Required?

Commercial Driver's License Required? No

Recruitment

Recruitment Details

Anticipated Hiring Range

Anticipated Hiring Range $18.00-$21.00/hour, depending on experience

NC State University is an equal opportunity employer. All qualified applicants will receive equal opportunities for employment without regard to age, color, disability, gender identity, genetic information, national origin, race, religion, sex (including pregnancy), sexual orientation, and veteran status. The University encourages all qualified applicants, including protected veterans and individuals with disabilities, to apply. Individuals with disabilities requiring disability-related accommodations in the application and interview process are welcome to contact 919-513-0574 to speak with a representative of the Office of Equal Opportunity.

If you have general questions about the application process, you may contact Human Resources at [phone] or [e-mail].

Final candidates are subject to criminal & sex offender background checks. Some vacancies also require credit or motor vehicle checks. Degree(s) must be obtained prior to start date in order to meet qualifications and receive credit.

NC State University participates in E-Verify. Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States.

Supplemental Questions

Required fields are indicated with an asterisk (*).

• * How did you hear about UTS?

  (Open Ended Question)

• * Please describe your experience filling dental claims.

  (Open Ended Question)

• * Please describe your experience with insurance portals.

  (Open Ended Question)

• * Please describe your experience with medical terminology.

  (Open Ended Question)

Required Documents

• Resume
• Cover Letter
• Contact Information for References
Optional Documents

NC STATE UNIVERSITY
RALEIGH, NC 27695
PHONE: [phone]