Job Requisition Number: 24098. As a national collegiate leader, UC Berkeley’s University Health Services (UHS) Tang Center provides comprehensive medical, mental health, insurance and health promotion services to all Berkeley students, and a variety of health programs for faculty and staff. Approximately 65,000 visits occur annually including Primary Care, Urgent Care, Occupational Health and Specialty Clinics. Services are designed to minimize the impact of illness, emotional distress and injury on studies and work. Coupled with health promotion and public health programs, In addition, UHS administers a major medical insurance plan, the Berkeley Student Health Insurance Plan (Berkeley SHIP). UHS reaches all segments of the Berkeley campus community. Learn more about UHS by visiting https://uhs.berkeley.edu/employment
The Student Health Insurance Office (SHIO) is responsible for the administration of the University of California’s mandatory Berkeley Student Health Insurance Plan (Berkeley SHIP). Berkeley SHIP is billed as part of the campus registration fees each semester. The office coordinates all member services for students enrolled in Berkeley SHIP, and conducts the insurance “waiver” program for students. The office also coordinates the insurance program for student athletes in Intercollegiate Athletics.
•Working knowledge of financial processes, policies and procedures. •Knowledge of ICD-9, ICD-10-CM, CPT standards, HCPCS National Level II coding systems •Knowledge of medical coding with the ability to translate medical notes and medical information into universally used alphanumeric codes. •Accurately input codes and abstract data into current coding systems •Meet or exceed department production standards for coding level •Meet or exceed department quality standards for coding level •Follow up and clarify provider medical documentation •Knowledge of financial data management and reporting systems. •Must be proficient in use of Microsoft Office and common desktop/web applications. •Strong interpersonal skills, analytical skills, service orientation, active listening, critical thinking, attention to detail, ability to multi-task in a high volume environment, organizational skills, effective verbal and written communication skills, sound judgment and decision-making. •Employment experience in the medial health industry, including but not limited to, medical coding (outpatient and or inpatient claims), insurance billing, insurance adjudication, customer service with benefits counseling or claims processing. Direct experience with, or knowledge of, medical claims processing for a major medical health insurance plan. •Knowledge of medical coding sufficient to verify completeness and accuracy of coding on insurance claims. •Uphold high standards of customer service in a demanding and complex health care organization. •Excellent communication skills, both written and verbal. •Excellent research and problem-solving skills. •Ability to function under fluctuating workloads, with frequent distractions and interruptions, and complete heavy workloads within established time frames. •Strong organizational skills to coordinate multiple, varied billing processes simultaneously. •Demonstrated strong interpersonal skills to build effective, professional working relationships with a diverse student customer service base, and diverse staff in a complex organizational structure. •Ability to handle sensitive information (HIPAA/FERPA) and to maintain confidentiality. •Well-developed touch typing/computer skills. •Functional knowledge of Practice Management System, Windows NT and the Microsoft Office suite, including word-processing, spreadsheet, and database programs. •Ability to pay attention to and manage detailed insurance information. •Demonstrated initiative, resourcefulness, integrity and dedication to timeliness to achieve high customer satisfaction levels.
Education and Training •Bachelors Degree in related area or equivalent experience/training. •Two plus years’ experience coding and abstracting in an health care facility This is a 100% FTE contract appointment with an expected duration of 1 year.
Employment is contingent on successful completion of: Background Check, Acceptable Medical Evaluation that includes infectious disease surveillance and proof of current required vaccinations or immunity levels, and successful credentials verification (if applicable).
The University of California was chartered in 1868 and its flagship campus - envisioned as a "City of Learning" - was established at Berkeley, on San Francisco Bay. Today the world's premier public university and a wellspring of innovation, UC Berkeley occupies a 1,232 acre campus with a sylvan 178-acre central core. From this home its academic community makes key contributions to the economic and social well-being of the Bay Area, California, and the nation.
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The mission of the University Risk Management and Insurance Association is to advance the discipline of risk management
in higher education.