HIM Coder/Insurance Biller Supervisor

• To organize and coordinate office operations, procedures, and resources that facilitate organizational effectiveness and efficiency.
• The Specialist will assist students and internal/external partners with any health insurance related queries.
• Processing insurance claims for students enrolled in designated insurance plans who receive covered services in the Student Health Services.
• Providing insurance education and customer service to students, parents, Student Health Services staff, other campus departments and other college health colleagues.
• Coordinating referral appointments with outside specialists which requires the use of scheduling, problem solving and communication skills.
• Maintain an accurate records of external referral patient’s appointments that are kept, no showed, or canceled and update status in the referral manager; keep referral manager current and close the loop in the referral process.
• Verify insurance information for referral purposes and obtain authorization from insurance carriers for requested services to be rendered an outside facility.
• Assist in managing all activities associated with insurance requirement enforcement, insurance-related research, auditing and problem solving and other administrative duties as assigned.
• Student Insurance Requirement – Providing excellent customer service to students, parents, Student Health.
• Services staff, and other campus offices (at SOAR, through web content, on the telephone, via e-mail, and in person) as well as UNC System counterparts as it relates to assistance for and enforcement of the systemwide insurance plan.
• To oversee Coder/Billing staff and ensure regulatory and contractual compliance are in place: HIPAA, Federal/State regulations govern medical billing/coding and HIPAA regulations to name the major responsibilities for UNCG Student Health Services; be the expert for medical. billing/coding; and serve as backup for ensuring claims are processed in a timely manner.
• To keep current with developments and trends the insurance and billing operations at the UNCG Student Health Services.
• To supervise billing, coding, and insurance staff to maintain and facilitate streamlined processes for appropriate completion of claims and other assignments in a timely manner.
• To implement, enforce, and monitor policies and procedures for coding compliance and insurance/billing timeliness and accuracy.
• To communicate in written and oral form and deliver appropriate information in a professional and respectful manner.

BACHELOR’S DEGREE AND ONE YEAR OF EXPERIENCE RELATED TO THE AREA OF ASSIGNMENT; OR EQUIVALENT COMBINATION OF TRAINING AND EXPERIENCE. ALL DEGREES MUST BE RECEIVED FROM APPROPRIATELY ACCREDITED INSTITUTIONS.

• Health Information and Electronic Health Record experience
• College Health experience
• Knowledge of HIPAA