Facility: The University of Kansas Hospital - Main Campus
Department: CLAIMS & INSURANCE
Schedule: Full Time
Work among the best. We are a top 25 employer in the metro area offering a wide array of career opportunities within our organization. We have a leading reputation for patient care, medical education, research, and community service. We value and respect the talented, committed, and diverse people who make up our health system; they are our most important strength. The health system offers very competitive wages and an outstanding benefit package.
We currently have an opening for Insurance and Claims Coordinator
Assists actively with insurance coordination for all insurance policies for The University of Kansas Health System and The University of Kansas Physicians
Ensures that hospital and physician and other care providers' insurance certificates are current and in full compliance with licensing and credentialing requirements, keeping track of important policy details.
Gathers data and information to facilitate submission of insurance applications
Ensures that Health System and UKP insurance policies are regularly reviewed, frequently reviewing company polices to determine new and shifting insurance needs.
Represents Health System and UKP on project teams as an insurance expert.
Actively leads efforts in renewal of UKP professional liability insurance.
Provides COI, insurance and claims history verification to facilitate credentialing of providers and affiliates, responds to other requests for insurance verification to credentialing agencies and the Health Care Stabilization Fund (HCSF).
Maintains UKP's program to assure appropriate risk transfer by maintaining evidence of insurance for vendors and other interested parties.
Acts as a liaison between Health System/UKP employees and insurance companies and helps develop policies for risk management and loss control.
Files the necessary paperwork for all insurance claims brought on behalf of UKP and any other paperwork assigned by the Director.
Provides education, support and assistance to physicians on reporting and responding to insurance claims and lawsuits.
Under the supervision of the Directors of Claims, prepares responses to subpoenas for records, assists in scheduling depositions in civil and criminal cases, assists in scheduling expert witnesses, preparing UKP employees for trials, and providing sensitive information.
Works effectively with Hospital and Health System Compliance and other departments to provide information related to claims.
Participate in education and orientation of new physicians as requested.
Collaborates with insurers and defense counsel in the efficient management of claims including resolution where appropriate
Supports UKP and Health System risk management activities as requested.
High School Diploma or equivalent required
Bachelor's Degree in Health Information Management, Nursing, Respiratory Care, or Health Care Administration required
Paralegal certificate required
3+ years of experience dealing with insurance matters in a law office, or insurance claims management in a healthcare environment required
Legal assistant preferred
Clinical background and training, preferable medical records knowledge preferred
Excellent communication, writing, organizational and presentation skills. Demonstrates superior oral and written communication, organization, and time-management skills required
Advanced working knowledge of computer spreadsheets and databases. Must have strong knowledge base of Microsoft Excel, Word, and prefer experience with database management, ie Microsoft Access required
Must be willing to drive to off-site hospital locations
*** If selected to move forward in the hiring process, you will receive an email invitation to schedule your interview for this position. Please continue to check your email after you have submitted your complete application online.
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