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Insurance and Referral Specialist

Employer
Macalester College
Location
Saint Paul, MN

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Administrative Jobs
Institutional & Business Affairs, Health & Medical Services
Employment Type
Full Time
Institution Type
Four-Year Institution
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Job Details

Overview

Oversees and provides administrative, technical, and educational support for Student Health Insurance at Macalester College. Educates students about mandatory insurance coverage, deadlines for compliance, the waiver and enrollment processes. Assists students 1:1 in navigating referrals, health care system, billing, and accessing care both on and off campus. Maintains on-line information about the student health insurance, shares information with both students and relevant campus partners. Works closely with the Health & Wellness Operations Manager on coding and billing that is submitted to the Mac-sponsored health insurance provider and Student Accounts and is responsible for managing direct billing and receivables. Provides regular communication between Macalester College and students, as well as between the insurer, broker, and students; and serves as a primary problem solver as issues arise from the campus community or insurer.

 

This is a hybrid position that will offer an in office and work from home weekly schedule. 

 

About the Health & Wellness Center: 

The Laurie Hamre Center (also referred to as The Health & Wellness (HWC))  offers integrated medical, counseling, disability, health promotion, and sexual violence prevention services and programs for all students and serves as a resource supporting the entire Macalester community’s effort to build a healthy campus. We are dedicated to providing care, support, and connection to resources for students of all identities.

Mission

The mission of the Laurie Hamre Center for Health & Wellness is to create a healthy community by working with students to achieve physical, emotional and social well-being while promoting the value of life-long learning and health.

Responsibilities
  • Student and campus partner education, development, and support:
    • A one-stop, human point-of-contact to help navigate the complexity of the U.S. health insurance system, of particular importance to international students and students with historically marginalized identities.
    • Student Education/Development, for example: Workshops for 1) incoming first years about how to navigate healthcare as emerging adults 2) graduating seniors about how to transfer care, insurance beyond SHS, 3) ISP students about how to navigate health care and insurance in the domestic US 4) Workshops specifically for students with historically marginalized identities and/or campus partners who help support these students.
    • Builds relationships with off campus partners, maintains robust off-campus referral lists, utilizing appropriate technology. Keeps these up to date and makes them accessible to students. Curates a list of Twin Cities counselors and health care providers with marginalized identities that will make mental health more accessible for BIPOC, LGBTQIA+, first generation, and international students. 
    • Provides hands-on support to students via help identifying and accessing healthcare resources on and off-campus. Serves as a direct point of contact for helping a student who needs more supported help to set up counseling or medical care through Hamre Center.
    • Supports and educates students in health insurance utilization - on-line and in-person. Assists students with health insurance questions and concerns. Coordinate referral and authorization process through Health Service and act as intermediary between student health services and insurance company for smooth authorization process.
    • Fields general student inquiries via e-mail/phone messages during non-academic hours (winter and summer break for example)

 

  • Administrative Duties related to insurance:
    • Directs student health insurance enrollment process.  Reconciles enrollment and billing with Business Services. Responsible for accounts receivables for clinical services and coordinating financial reporting.
    • Prepares & submits charges to Macalester-offered health insurance company for students. Tracks reimbursements. Responsible for abstracting medical information including correct diagnosis code, level of services, testing and treatment procedures, and dates of service from patient medical records, complete forms,submitting medical claims, and answer inquiries from providers, patients, and insurance companies.
    • Investigates and resolves issues related to insurance billing: verify, change and enter information in the medical billing system. Review and research claims denials; contact insurance carriers for status updates, resubmit claims, and write appeals when necessary. Compile information for report generation.
    • Develop and maintain expertise regarding EHR and other software interfaces such as Banner, Beacon, serve as a resource on EHR, Insurance and finance to others.
    • Conduct routine audits for student compliance with mandatory insurance requirements.
    • Works with insurance broker to identify providers that meet student needs for brokers to negotiate with for coverage

 

  • Administrative related to Hamre office staff:
    • Initiate and maintain licensure, credentialing and CME needs for clinical staff and track all contracting issues through provider relations departments of insurance companies.
    • Works closely with Director to manage and monitor department
    • Assists with forms scanning, data entry, and other administrative work for records, referrals, projects; assists with varied Health & Wellness Center projects and tasks as needed.
    • Point of contact with hospital for records when someone is hospitalized, Return from hospital point of contact/referral coordinator

 

  •  Other duties as assigned, including: Participates in student affairs meetings, duties, and case management, serving as a partner to other student affairs professionals and ISP staff to navigate student needs, works closely with new case manager role
Qualifications
  • Associate's/Vocational degree or Certification in medical billing, healthcare or related field required
  • Experience in medical billing or medical insurance required 

 

Compensation & Benefits: 

This is a 0.9 FTE non-exempt position with an hourly wage of $22.06-$23.16 and Macalester’s Benefits as a part of its total compensation package. 

 

Application Guidelines: 

 

To be considered, please apply with your resume and cover letter in one pdf via Macalester’s Employment Opportunities Page. Priority will be given to candidates who apply by April 13th. This position will be posted until filled. 

 

All inquiries regarding this position should be directed to: 

 

Jaclyn Howard 

Talent Acquisition Manager 

[email protected]

 

Macalester College - Institutional Overview

Since its founding in 1874, Macalester has provided students with the inspiration, insight, and experience to become successful and ethical leaders. Located in St. Paul, Minnesota, Macalester enrolls nearly 2,100 students who come from virtually every state and 91 countries. Macalester is committed to being a preeminent liberal arts college known for its high standards of scholarship and its special emphasis on internationalism, multiculturalism, and service to society.Macalester is proud of its longstanding commitment to social justice and creating a safe environment for all people regardless of sexual orientation, race, ethnicity, national origin, citizenship status, gender, religion, age, or ability. Macalester is dedicated to the goal of building a culturally diverse and pluralistic staff committed to working in a multicultural environment and strongly encourages applications from everyone who would add richness to our community, including people of color, individuals with disabilities and women.BenefitsMacalester employees enjoy a fantastic benefits package and working environment that is second to none. Please visit http://www.macalester.edu/employmentservices/benefits/ for more information about benefits at Macalester College.Our Commitment to Safety in response to COVID-19:For the safety of our community, Macalester requires all employees to have received a COVID-19 vaccine. Should a newly hired employee be unable to receive the vaccination for either medical or religious reasons we offer accommodations and assistance.Questions or concerns about this process should be directed to Bob Graf, Director of Employment Services, at [email protected]

Organization

Working for Macalester College 

Since its founding in 1874, Macalester has provided students the inspiration, insight and experience to become successful and ethical leaders. Classes are taught by faculty whose passion is teaching and whose scholarship gains national recognition.
Two great cities at your doorstep. Macalester is nestled in a lovely, residential neighborhood–minutes from downtown St. Paul and Minneapolis–which offers students a wealth of internship opportunities in business, finance, medicine, government, law, the arts, and more.

Macalester students are citizens of over 90 countries.

Our faculty earned their advanced degrees from some of the best schools in the world, and they remain thought-leaders in their fields

Macalester students enjoy a wealth of resources for research on and off campus–specialized laboratories, libraries, museum collections, distinct population groups for surveys, even a natural history center. Often students undertake research that makes real contributions to their discipline. They publish papers in scholarly journals, participate in conferences, and provide analysis for policy makers and real-world use.

Mission

Macalester is committed to being a preeminent liberal arts college with an educational program known for its high standards for scholarship and its special emphasis on internationalism, multiculturalism, and service to society.

Statement of Purpose and Belief

At Macalester College we believe that education is a fundamentally transforming experience. As a community of learners, the possibilities for this personal, social, and intellectual transformation extend to us all. We affirm the importance of the intellectual growth of the students, staff and faculty through individual and collaborative endeavor. We believe that this can best be achieved through an environment that values the diverse cultures of our world and recognizes our responsibility to provide a supportive and respectful environment for students, staff and faculty of all cultures and backgrounds.

We expect students to develop a broad understanding of the liberal arts while they are at Macalester. Students should follow a primary course of study in order to acquire an understanding of disciplinary theory and methodology; they should be able to apply their understanding of theories to address problems in the larger community. Students should develop the ability to use information and communication resources effectively, be adept at critical, analytical and logical thinking, and express themselves well in both oral and written forms. Finally, students should be prepared to take responsibility for their personal, social and intellectual choices.

We believe that the benefit of the educational experience at Macalester is the development of individuals who make informed judgments and interpretations of the broader world around them and choose actions or beliefs for which they are willing to be held accountable. We expect them to develop the ability to seek and use knowledge and experience in contexts that challenge and inform their suppositions about the world. We are committed to helping students grow intellectually and personally within an environment that models and promotes academic excellence and ethical behavior. The education a student begins at Macalester provides the basis for continuous transformation through learning and service.

Find Us
Website
Telephone
6516966000
Location
1600 Grand Avenue
St. Paul
Mn
55105
United States
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