Summary:

The Insurance Specialist (IS) position requires fundamental knowledge of health insurance plans, how insurance companies pay claims, how to file claims, how to read and interpret an insurance explanation of benefits (EOB), and do precise follow-up with the insurance company or other parties as needed. This is a high-visibility, customer-oriented position that interacts extensively with external parties representing the school, students, parents, faculty, staff, and other members of the community. As such, the individual selected to fill this role must possess outstanding interpersonal and communication skills. The ideal candidate will have a proven record of managing priorities and proactive planning to meet the needs of the department. The IS will assist the health office in general administrative support and in transporting students to medical appointments as needed.

Responsibilities: 

  • Review/verify student insurance coverage to identify areas of risk or no coverage
  • Be a resource for all staff and students for insurance questions and information
  • Create and oversee a system for tracking all insurance-related information
  • Build and maintain the student record in our database
  • Initiate correction on all claims with errors on a timely basis
  • Follow up on any correspondence with all appropriate parties
  • When necessary, review medical records and resubmit claims with appropriate documentation to expedite claims processing (adhering to confidentiality requirements)
  • Appropriately document all student accounts with each action taken and each contact made in MAGNUS
  • Assist in registering students efficiently and accurately, obtaining appropriate signatures, completing all required forms and providing patient information as required by state and federal regulations and departmental guidelines
  • Assure that all required documentation is scanned in appropriately into MAGNUS
  • Assure the collection of deposits and co-pays when applicable
  • Assist students with questions concerning their insurance coverage
  • Assist self-pay students with their medical and dental care options available in the community for future follow-up care
  • Promote the mission, vision, and values of the school
  • Participate in data gathering for financial reporting
  • Perform general clerical duties such as scanning, answering phones, assisting in other support functions or related departments.
  • Transport students to medical appointments as needed
  • Perform other duties as assigned

Qualifications:

  • High school graduate or equivalent required
  • CHIS (Certified Health Insurance Specialist) and/or CPC (Certified Professional Coder) required
  • Knowledge of medical insurances (Medicare, HMO’s, PPO’s, commercial), EMTALA regulations, hospital billing and collection process required
  • Medical terminology knowledge preferred
  • Proficiency in MS Office, Google Suite, medial database knowledge (MAGNUS preferred)
  • Previous hospital registration, billing and collections, financial counseling, and/or customer service experience preferred
  • Knowledge of CPT / ICD-10 coding helpful
  • Ability to work independently, exercise creativity, be attentive to detail, and maintain a positive attitude
  • Ability to manage multiple and simultaneous responsibilities and to prioritize duties/tasks
  • Ability to initiate communication with students, their families, and hospital visitors
  • Must have excellent customer service and communication skills with the ability to effectively calm students and be able to deal with distressed and/or agitated students and their families
  • Must have a professional demeanor and excellent public relations skills
  • Must have excellent written skills with knowledge of medical terminology
  • Work is performed during regular work hours but may require overtime and/or weekend hours to meet deadlines as needed
  • Flexible in your approach and demeanor in order to align with the shifting demands of evolving circumstances
  • Able to exercise judgment in applying departmental policies and procedures when dealing with complex problems, without constant direct supervision
  • Enthusiasm for working in an independent school setting and desire to embrace the school mission and values
  • Maintain patient confidentiality at all times
  • Complete continuing education/training requirements
  • Comply with all organizational policies and standards regarding ethical business practices
  • Candidate must pass criminal record check
  • Ability to traverse the CA campus including climbing stairs
  • Ability to lift and carry materials for the office (up to 20 lbs.)

To apply, please send a letter of interest and resume to:
Jeff Desjarlais
Director of Student Health and Support Services
hr+health@concordacademy.org