Medical Insurance Clerk I - UMC Business Office - 528733

Job Summary:

The Medical Insurance Clerk I processes insurance claims submitted for reimbursement. Communicates with insurance carriers and patients on coverage and payment requirements to facilitate timely reimbursement on outstanding claims.

Additional Department Summary:

Provides billing and clerical support for the University Medical Center Business Office. This role is a vital part of a well-organized medical clinic/school, and is primarily responsible for operational and processing duties of all claims submitted for reimbursement for the College of Community Health Sciences (CCHS). Reviews insurance claims, follows up with insurance carriers, and works with patients on coverage and payment requirements. Ensures timely reimbursement on outstanding claims. Partners with CCHS enterprise services (including Health Informatics, Medical Billing, Medical Records, and others) to meet short and long-term collection goals.

Required Minimum Qualifications:

High school diploma or GED and some experience in a medical or insurance office; OR associate's degree or higher.

Skills and Knowledge:

Detailed-oriented. Efficient and accurate computer and data entry skills. Ability to multi-task in a fast paced work environment. Excellent communication, public relations, customer service, and telephone etiquette skills. Willingness to learn, train/share relevant knowledge and consistently deliver patient-centered, high quality customer service. Desire to exemplify the core values and mission of the organization, always exercising utmost discretion, diplomacy, and tact in patient/staff interactions. Ability to maintain strict confidentially of protected health information and follow HIPAA regulations at all times.

Preferred Qualifications:

2 years of relevant training and/or experience in a medical insurance office with a focus on claims processing. Working knowledge of revenue cycle management, understanding of insurance payor protocols, CPT/ICD coding and/or medical terminology knowledge/experience preferred.