UTS-Temporary Insurance Specialist at UNC Chapel Hill

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

Job summary

NC State University is seeking a Temporary Insurance Specialist to manage billing and reimbursement processes for dental insurance. This role requires expertise in insurance standards, effective communication, and compliance with regulations while working closely with insurance carriers. Candidates should have prior experience in handling dental claims and possess a strong understanding of medical-dental coding.

Qualifications

• 1-3 years of experience filing dental insurance claims.
• Strong understanding of billing and reimbursements in dental care.

Responsibilities

• Filing dental insurance claims and obtaining necessary documentation.
• Investigating and appealing denied claims.
• Regularly auditing patient records for billing accuracy.

Skills

Communication

Deductive Reasoning

Job description

Posting Number:

PG195195TM

Position Number:

48SM89

Position Type:

Temporary

Essential Job Duties:

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:

Yes

If Yes, Appointment Length:

11 months

Job City & State:

Chapel Hill, NC

Classification Title:

Temporary-Service Maintenance

Working Title:

UTS-Temporary Insurance Specialist at UNC Chapel Hill

Work Schedule:

Monday–Friday, 8:00 AM–5:00 PM

Other Work/Responsibilities:

Other duties as needed

Minimum Experience/Education:

• 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?:

No

Commercial Driver's License Required?:

No

Anticipated Hiring Range:

$18.00-$21.00/hour, depending on experience

Job Open Date:

06/02/2025

Quick Link:

https://jobs.ncsu.edu/postings/219306

EEO:

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.