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UTS - Temporary Insurance Specialist at UNC Chapel Hill

Job Description

Posting Number

PG194754TM

Position Number

48CK18

Position Type

Temporary

Essential Job Duties

The UNC Adams School of Dentistry is seeking a skilled and detail-oriented Medical Coding and Insurance Specialist to manage both medical and dental insurance services. This role plays a critical part in ensuring seamless billing and reimbursement processes for Managed Care and private dental insurance companies and organization

Is Time Limited

No

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 8am-5pm (100% on site), 40 hours per week

Other Work/Responsibilities

Key Responsibilities
  • Claims and Billing:
    • Review treatment notes to ensure all coding, Medical and Dental, are accurate as well as the diagnosis.  
    • File Medical and Dental insurance claims for privately insured patients.
    • Ensure accurate submission of supporting clinical documentation (e.g., X-rays, chart notes, letters of necessity).
  • Investigate and appeal denied claims, following up to resolution.
  • Accounts Receivable Management:
    • Maintain an in-depth understanding of Medical and Dental insurance industry standards, billing practices, and reimbursement processes.
    • Audit patient records regularly to ensure billing, coding, and clinical documentation accuracy.
    • Scan and manage critical insurance documentation in electronic patient records.
  • Patient and Provider Support:
    • Answer inquiries regarding Medical and Dental insurance benefits, claim status, and account summaries.

Minimum Experience/Education

High School Diploma and at least 2 years of administrative experience in a professional office or administrative setting. Experience working in insurance verification within a healthcare field is highly preferred.

Department Required Skills

  • Specialized knowledge of Medical Coding, Dental and Medical insurance policies, contracts, and billing standards.
  • Proficiency in Medical and Dental terminology, procedural and diagnostic coding, and medical-dental cross-coding.
  • Experience with electronic claims processing and insurance vendor protocols.
  • Strong understanding of accounts receivable management principles.
  • HIPAA Compliance: Knowledge of and adherence to HIPAA regulations is required.
  • Certified Medical Coder


Preferred Years Experience, Skills, Training, Education

Skills and Attributes
  • Exceptional attention to detail and organizational skills.
  • Excellent communication and problem-solving abilities.
  • Ability to work collaboratively with insurance carriers, patients, and clinic providers.
     

Required License or Certification

  • Certified Medical Coder

Valid NC Driver's License required?

No

Commercial Driver's License Required?

No

Anticipated Hiring Range

$25 per hour

Job Open Date

12/03/2024

Quick Link

https://jobs.ncsu.edu/postings/211606

AA/EEO

NC State University is an equal opportunity and affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, gender identity, age, sexual orientation, genetic information, status as an individual with a disability, or status as a protected veteran.

If you have general questions about the application process, you may contact Human Resources at (919) 515-2135 or workatncstate@ncsu.edu. Individuals with disabilities requiring disability-related accommodations in the application and interview process, please call 919-515-3148.

Final candidates are subject to criminal & sex offender background checks. Some vacancies also require credit or motor vehicle checks. If highest degree is from an institution outside of the U.S., final candidates are required to have their degree equivalency verified at www.wes.org or equivalent service. 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.

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