At the University of California, Berkeley, we are committed to creating a community that fosters equity of experience and opportunity, and ensures that students, faculty, and staff of all backgrounds feel safe, welcome and included. Our culture of openness, freedom and belonging make it a special place for students, faculty and staff.
The University of California, Berkeley, is one of the world's leading institutions of higher education, distinguished by its combination of internationally recognized academic and research excellence; the transformative opportunity it provides to a large and diverse student body; its public mission and commitment to equity and social justice; and its roots in the California experience, animated by such values as innovation, questioning the status quo, and respect for the environment and nature. Since its founding in 1868, Berkeley has fueled a perpetual renaissance, generating unparalleled intellectual, economic and social value in California, the United States and the world.
We are looking for equity-minded applicants who represent the full diversity of California and who demonstrate a sensitivity to and understanding of the diverse academic, socioeconomic, cultural, disability, gender identity, sexual orientation, and ethnic backgrounds present in our community. When you join the team at Berkeley, you can expect to be part of an inclusive, innovative and equity-focused community that approaches higher education as a matter of social justice that requires broad collaboration among faculty, staff, students and community partners. In deciding whether to apply for a position at Berkeley, you are strongly encouraged to consider whether your values align with our Guiding Values and Principles, our Principles of Community, and our Strategic Plan.
Application Review Date
The First Review Date for this job is: February 14, 2020
The Department of Intercollegiate Athletics consists of more than 275 staff members and coaches and sponsors 30 varsity sports programs. These 30 programs include more than 850 student-athletes who participate in the various sports programs annually within the National Collegiate Athletics Association (NCAA). We are currently seeking an Insurance Coordinator who will work within the department's Sports Medicine unit.
The Insurance Coordinator manages all daily operations of insurance services for more than 800 student-athletes. The Insurance Coordinator ensures that medical services are properly authorized by Sports Medicine physicians, submits claims to the athletes' primary insurance carriers and to the secondary athletic insurance plan, oversees and coordinates the benefits between plans, and monitors and reconciles deductibles paid by the athletic insurance carrier on behalf of IA. The Insurance Coordinator must communicate with the student-athlete and his or her parents, athletic trainers, Sports Medicine physicians, specialist physicians, primary care providers, coaches, insurance plan representative and insurance brokers.
Daily responsibilities for the Insurance Coordinator as listed above, including the following:
Medical Services Payment Management
Ensures all medical bills incurred by student-athletes are submitted to the correct insurance carrier and processed in a timely fashion.
Maintain records of all claims paid by the athletic insurance plan carrier against the deductible and reconcile deductible payments.
Serves as liaison between Sports Medicine physicians and insurance carriers.
Provides doctor's offices and insurance carriers with necessary and pertinent information about student-athletes and their injuries.
Provides efficient support for patient care, including scheduling appointments, providing directions, etc.
Confirms enrollment in all relevant insurance plans.
Processes outside referrals.
Determines if treatment is for an athletic-related or non-athletic-related injury or illness.
Performs data analysis on athletic insurance plan performance and on specific providers or treatments.
Develops and maintains customized software applications to manage all data associated with Athletic Insurance Program.
Maintains database to record billing, deductible, and provider contact information.
Analyzes business needs and recommends modifications and changes of procedures and forms
In depth knowledge of health insurance industry, IA programs, sports medicine.
Knowledge of medical procedures, medical terminology, claims processing operations, surgical procedures, anatomy, etc.
Experience with project management, as demonstrated by ability to organize, coordinate and complete projects effectively and within deadlines
Experience with management of clinical data, including collection of data elements, verification of data integrity, querying databases to extract data, and reporting information in a useful format.
Expert user of Windows and the Microsoft Office suite, including word-processing, spreadsheet systems, and database programs.
Experience upholding high standards of customer service in a demanding and complex health care organization.
Extremely well organized, communicate effectively verbally and in writing, possess excellent analytical skills.
Demonstrate strong interpersonal skills to build effective, professional working relationships.
Able to function independently, exert creative problem-solving abilities on a regular basis, and exercise sound judgment.
Must maintain current knowledge of applicable rules and standards of the Pacific-12 Conference, the National Collegiate Athletic Association (NCAA), as well as other associations and agencies to which the Berkeley campus of the University of California adheres, and, at all times avoid any and all violations of these rules and standards.
Bachelor's degree and/or equivalent training and experience.
Previous experience working in an athletics department.
Salary & Benefits
This position is a non-exempt, bi-weekly paid position. Hourly pay for this role is commensurate with experience.
This is a designated position requiring fingerprinting and a background check due to the nature of the job responsibilities. Berkeley does hire people with conviction histories and reviews information received in the context of the job responsibilities. The University reserves the right to make employment contingent upon successful completion of the background check.
This position has been identified as a Mandated Reporter required to report the observed or suspected abuse or neglect of children, dependent adults, or elders to designated law enforcement or social service agencies. We reserve the right to make employment contingent upon completion of signed statements acknowledging the responsibilities of a Mandated Reporter.
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.