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Health Insurance Admin Supervisor
Job Category:   Health and Counseling
Unit:   Student Health Services
Position Code:   SSHS7587A
Status:   Filled
Closing Date:   Review of applications will continue until the position is filled; however, the position may close when an adequate number of qualified applications are received.
Salary:   $45,000-$53,000 Annually
Location:   Merced
 
Background check:   Background check and fingerprinting may be required
 
Description:  

The University of California, Merced, is the newest of the University of California system’s 10 campuses and the first American research university built in the 21st century. With a little more than 7,000 undergraduate and graduate students, UC Merced offers an environment that combines a commitment to diversity, inclusion, collaboration and professional development. With bachelor’s, master’s and doctoral degree programs, strong research and academic partnerships, and community involvement, the UC Merced campus is continually evolving and requires talented, knowledgeable and dynamic educators, researchers, management and staff.

Under general supervision of the Executive Director of Health and Counseling Services and designated supervisors, the Health Insurance Administration Supervisor is responsible for student health insurance related duties that are subject to a moderate level of control and review. Directs subordinates to complete assignments using established guidelines, procedures, and policies. Works on assignments regarding student health insurance, annual renewal process, waiver process, advertising, insurance website information, billing, coding, and reimbursement. Requires full knowledge of student health insurance processes, billing and coding procedures and must be able to collaborate with multiple units on and off campus.

Key Responsibilities:

Supervises the Insurance Coordinator, student health insurance processes, insurance waiver process, advertising of the student health insurance product, billing, coding and reimbursement of insurance claims. Establishes and monitors processes to ensure the efficient supervision and delivery of the student health insurance product. Ensures the delivery of high quality customer service to students and various constituencies. Ensures the delivery of high quality customer service to students and various constituencies. Requires detailed knowledge of the student health insurance plan including benefit levels and coverage limitations, dental plan and vision plan.

Collaborates with multiple units on campus to ensure the delivery of services, waiver process and student check list are completed in an efficient and accurate manner. Serves on various campus and UCOP committees. Coordinates and collaborates with UCOP UCSHIP management team to ensure all deadlines and requirements are met annually in regards to the student health insurance, waiver process, advertising and committee participation. Prepares correspondence regularly to UCSHIP management team, Wells Fargo Information Systems and various campus entities.

Updates the student health website annually and as needed to ensure accurate up-to-date information is present on the website regarding student health insurance.

Participates in the selection, development and evaluation of insurance, billing and coding staff to ensure the efficient operation of the department.

Reviews insurance claims submitted and ensures accurate payment of claims. Reviews and resolves discrepancies regarding insurance claims, referrals and insurance waivers. Resolves any billing/coding/insurance issues not resolved by the Insurance Coordinator. Reviews all reports submitted by the Insurance Coordinator and presents findings to the Executive Director.

Must be able to use multiple computer systems to research insurance eligibility, claims etc.

*LI-RM1

 
Qualifications:   • Bachelor's degree required.

• Minimum 2 years of directly related experience.

• Training and experience with ICD-10 Medical Billing preferred.

• Working knowledge of the organization’s processes and procedures, rules and regulations required.

• Working knowledge of common organization-specific software, word processing, spreadsheet and database applications, electronic medical records, medical billing and coding software, insurance coordination and other computer application programs required.

• Interpersonal skills to effectively motivate others required.

• Skills to evaluate issues and identify resolution required.

• Strong service orientation required.

• Communication skills; both verbally and in writing required.

• Ability to effectively manage multiple priorities required.
 
To Apply:   Click on the link below to use our new on-line application system.

If you do not have internet access you may mail your application, resume, and cover letter to: University of California, Merced, 5200 North Lake Rd., Merced CA 95343. Please list the job number on the subject line.

NOTICE: This position is not open. We are not accepting applications at this time.

 
    The University of California is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age or protected veteran status.

For the complete University of California nondiscrimination and affirmative action policy see: http://policy.ucop.edu/doc/4000376/NondiscrimAffirmAct.

As of January 1, 2014 the University of California, Merced will be a smoke and tobacco free workplace. Information and the Smoke and Tobacco Free policy is available at
http://smokefree.ucmerced.edu

E-Verify: Effective September 8, 2009, all employers who receive Federal contracts and grants are required to comply with E-Verify, an Internet-based system operated by the Department of Homeland Security (DHS) in partnership with the Social Security Administration (SSA). E-Verify electronically verifies employment eligibility by comparing information provided on the I-9 form to records in the DHS and SSA databases. Certain positions funded by federal contracts/subcontracts requires UC Merced to notify job applicants that an E-Verify check will be conducted and the successful candidate must pass the E-Verify check.
More Information

For information on the comprehensive benefits package offered by the University of California visit:
http://ucnet.universityofcalifornia.edu/compensation-and-benefits/





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