Benefits and Health Record Representative (4722C) 23250
University of California Berkeley
Location: Berkeley, California
Internal Number: 2470130
Benefits and Health Record Representative (4722C) 23250
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.
UC Berkeley's University Health Services (UHS) is a comprehensive campus-based health center providing fully accredited, primary medical care, counseling and psychological services, and innovative health promotion programs for students, faculty, and staff. The UHS provides on-campus medical and mental health care and coordinates off-campus care through a network of community specialists and hospitals. Departments serving students include general medical, specialty and urgent care clinics, counseling and psychological services, social services, laboratory, pharmacy, physical therapy, radiology and health promotion. In addition, UHS administers a major medical insurance plan, the Student Health Insurance Plan (SHIP).
The Student Health Insurance Office (SHIO) is responsible for the administration of the University of California's mandatory insurance requirement and the enrollment of students in SHIP as a way to meet that mandate. SHIP is billed as part of the campus registration fees to over 22,000 students each semester. The office coordinates all member services for the 22,000 students enrolled in SHIP and conducts the waiver program to release insurance-related fees for the students who do not participate in the program. Additionally, the office coordinates health insurance programs for specialized university groups such as Intercollegiate Athletes. SHIO is also responsible for claims processing and cashier/billing duties for UHS.
Application Review Date
The First Review Date for this job is: 9/13/2021
Supports the functions of the Student Health Insurance Office which includes: 1. Coordinating requests for SHIP referrals and authorizations 2. SHIO reception and customer service 3. Providing information and outreach to students, parents, and others on waiver criteria, process, and application status. 4. Conduct presentations on SHIP basics to new students and parents. 5. Counsel students on insurance benefits, exclusions, and plan structure. 6. Assist with plan enrollment for dependents and other voluntary populations. 7. Resolve claims issues with medical, dental, and vision carriers. 8. Respond to and resolve inquiries from non-UHS providers serving SHIP patients. 9. Coordinate with other UHS departments and Athletics as needed to assist with case coordination and referral/claim issues. 10. Assist with waiver appeal processing and customer service as needed.
Assist in Customer Service for Community Behavior Health providers. Duties may include responding to community provider's emails, phone calls, and in person drop ins. 1. Provider inquiries about unpaid claims. a. Follow up with insurance carrier for claims resolution. 2. Request for referral renewals. 3. Answer to questions all things Berkeley SHIP related. 4. Assess provider needs and determine appropriate response to their concerns. 5. Assisting providers with contracting with the current insurance carrier. 6. Maintain the provider profile list in the current EMR system a. Add new verified in network providers. b. Remove providers whenever requested.
Support to the cashiering department. Assist in lunch, morning and afternoon breaks as well as any other assistance throughout the year. Be available 100% of the time to support department during vacations or when staff is out ill. Examples of high volume time are:
Beginning of each semester
Flu clinic days ( 6 to 8 days between October and December each year)
End of each semester Involves taking student walk-up's to collect payments, provide walk-out statements, or be reviewing tickets for cashiering staff. May also be doing other claims batching while covering lunches and daily breaks. May assist with claims processing for SHIP.
Assist Associate Director with administrative tasks including calendar scheduling, meeting preparation, and document handling.
Other duties as assigned.
Demonstrated customer service experience and commitment to providing high quality service.
Thorough knowledge in administrative procedures and processes including word processing, spreadsheet and database applications.
Requires good verbal and written communication skills, active listening, critical thinking, multi-task and time management skills.
Requires interpersonal and work leadership skills.
Skill in managing sensitive and confidential information.
Demonstrated critical thinking skills and ability to work independently with minimal supervision.
Strong interpersonal and teamwork skills.
Able to handle distractions and distractions.
Strong commitment to confidentiality and patient privacy.
Experience with electronic medical records.
Previous experience with confidential records.
Strong customer service experience.
Ability to pay attention to and manage detailed release of information requests and subpoenas.
Demonstrated problem solving skills.
High school diploma or equivalent training/experience.
Call center experience
Experience working in health insurance
Release of information experience
Medical coding knowledge
Salary & Benefits
For information on the comprehensive benefits package offered by the University visit:
Please submit your cover letter and resume as a single attachment when applying.
Your employment is dependent on obtaining and maintaining a credentialing clearance, background clearance and medical clearance according to University Health Service policies.
Conviction History Background
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.
Equal Employment Opportunity
The University of California is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. For more information about your rights as an applicant see:
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.