UCSD Layoff from Career Appointment: Apply by 04/17/2019 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.
Special Selection Applicants: Apply by 04/26/2019. Eligible Special Selection clients should contact their Disability Counselor for assistance.
Under general supervision and direction of the Claims Manager, the Claims Resolution Coordinator is responsible for manual entry and pending of claims in the Epic system for review and adjudication. Performs all administrative aspects of claims inventory management including file identification and retrieval for delegation audits and associated document file-backs. Processes and prioritizes daily incoming Claims Department mail. Interprets health plan compliance requirements to ensure batches are maintained and distributed in received date order. Performs other related administrative support functions as required.
High school diploma or equivalent. Some college coursework; or equivalent combination of education and experience.
A minimum of two (2) years providing administrative support in a managed care environment.
A minimum six (6) months of recent claims data entry experience.
Proven knowledge of CPT, ICD, ASA, and HCPCS coding as it pertains to claims entry.
Demonstrated knowledge of preparing claims for storage and retrieval.
Proficiency with MS Office: Excel, Word, Outlook, Access, etc.
Excellent communication skills, both verbal and written.
Knowledge of health plan/HMO claims administration guidelines, requirements and data entry protocols.
Claim processing experience.
Epic Tapestry system proficiency.
Must be able to work occasional overtime and various hours and locations based on business needs.
Employment is subject to a criminal background check and pre-employment physical.
UC San Diego is an academic powerhouse and economic engine, recognized as one of the top 8 public universities by U.S. News and World Report. Innovation is central to who we are and what we do. Here, students learn that knowledge isn't just acquired in the classroom - life is their laboratory. UC San Diego's rich academic portfolio includes six undergraduate colleges, five academic divisions and five graduate and professional schools. The university's award-winning scholars are experts at the forefront of their fields with an impressive track record for achieving scientific, medical and technological breakthroughs.