Insurance Specialist

Job Summary:

The School of Dental Medicine (SDM) has an opening for an Insurance Specialist. This role is responsible for accurate billing, coding, and reimbursement of third-party insurance and Medicaid claims in support of the clinical enterprise. The Insurance Specialist serves as a key resource for patients, students, faculty, and staff by providing guidance on insurance coverage, financial responsibilities, and claims resolution.

The position focuses on verifying eligibility and benefits, coordinating authorizations, reviewing and submitting claims, monitoring payments, and preparing appeals for denied claims. Using the Electronic Health Record system and reporting tools, the Insurance Specialist analyzes claim activity, ensures compliance with billing guidelines, and works closely with clinic managers and insurance carriers to promote timely reimbursement and a positive patient financial experience.

Key Responsibilities:

• Ensure accurate billing and payment processing for all third-party insurance and Medicaid claims, including coding and reimbursement verification.

• Establish and maintain operational standards and documentation for fiscal reporting and communication with clinic managers.

• Utilize Electronic Health Records and Microsoft Office applications to facilitate documentation and reporting processes.

• Verify patient eligibility and benefits, coordinate necessary authorizations for treatment.

• Inform patients on financial responsibilities and clarify insurance coverage details.

• Conduct interviews to gather financial and insurance information, ensuring data accuracy in the Electronic Health Record system.

• Serve as a liaison between patients, insurance carriers, students, faculty and staff, addressing concerns and resolving discrepancies to maintain positive relationships.

• Maintain up-to-date knowledge of insurance company policies, ensuring compliance with billing guidelines and optimizing claims submissions.

• Apply proper billing techniques and coding practices to maximize reimbursement and minimize claim denials, actively seeking to understand and implement changes in insurance regulations.

• Review and analyze claims for accuracy, identifying potential errors before submission to reduce denials.

• Perform regular audits of patient accounts to ensure compliance with financial policies and proper documentation.

• Monitor insurance claims by running reports and contacting insurance carriers to resolve unpaid claims promptly.

• Prepare and submit timely appeals for denied claims, providing necessary documentation and follow-up.

• Conduct training sessions for staff on billing procedures and insurance policies to ensure consistent practices across the department.

Work Location:

Onsite - this role is expected to work onsite and is located in Aurora, Colorado.

Why Join Us:

Why work for the University?

We have AMAZING benefits and offer exceptional amounts of holiday, vacation and sick leave! The University of Colorado offers an excellent benefits package including:

• Medical: Multiple plan options

• Dental: Multiple plan options

• Additional Insurance: Disability, Life, Vision

• Retirement 401(a) Plan: Employer contributes 10% of your gross pay

• Paid Time Off: Accruals over the year

• Vacation Days: 22/year (maximum accrual 352 hours)

• Sick Days: 15/year (unlimited maximum accrual)

• Holiday Days: 10/year

• Tuition Benefit: Employees have access to this benefit on all CU campuses

• ECO Pass: Reduced rate RTD Bus and light rail service

There are many additional perks & programs with the CU Advantage.

Qualifications:

Minimum Qualifications:

• Bachelor's degree in business administration, finance, accounting, or a directly related field from an accredited institution

• 1 year of experience in billing, claims management or related experience in a medical, healthcare, higher education or dental setting.

• A combination of education and related technical/military/paraprofessional experience may be substituted for a bachelor's degree on a year for year basis.

Applicants must meet minimum qualifications at the time of hire.

Preferred Qualifications:

• Dental terminology experience

• Experience that reflects familiarity with PPO/EPO, Medicaid, and the American Dental Association (ADA) Code on Dental Procedures and Nomenclature

• Experience that reflects working with electronic health records and insurance processing in either a medical or dental setting

• Experience with CDT dental coding and dental terminology

Knowledge, Skills and Abilities:

• Exceptional interpersonal skills

• Demonstrated ability to communicate and maintain positive interpersonal relationships within a diverse community

• Excellent written and verbal communication skills

• Strong organizational skills

• Excellent computer skills

• Excellent understanding of verifying, authorizing and processing of insurance claims

• Knowledge in federal and state regulations

• Excellent written and verbal communication skills

• Experience with Word, Excel and Outlook

How to Apply:

For full consideration, please submit the following document(s):

1. A letter of interest describing relevant job experiences as they relate to listed job qualifications and interest in the position

2. Curriculum vitae / Resume

3. Three to five professional references, including name, address, phone number (mobile number if appropriate), and email address

Questions should be directed to: Jordan Thomas, Jordan.Thomas@CUAnschutz.edu

Screening of Applications Begins:

Screening begins on 1/30/26

Anticipated Pay Range:

The starting salary range (or hiring range) for this position has been established as $48,264 - $61,393 annually.

The above salary range (or hiring range) represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting. This position may be eligible for overtime compensation, depending on the level.

Your total compensation goes beyond the number on your paycheck. The University of Colorado provides generous leave, health plans and retirement contributions that add to your bottom line.

Total Compensation Calculator

Equal Employment Opportunity Statement:

CU is an Equal Opportunity Employer and complies with all applicable federal, state, and local laws governing nondiscrimination in employment. We are committed to creating a workplace where all individuals are treated with respect and dignity, and we encourage individuals from all backgrounds to apply, including protected veterans and individuals with disabilities.

ADA Statement:

The University will provide reasonable accommodations to applicants with disabilities throughout the employment application process. To request an accommodation pursuant to the Americans with Disabilities Act, please contact the Human Resources ADA Coordinator at hr.adacoordinator@cuanschutz.edu.

Background Check Statement:

The University of Colorado Anschutz Medical Campus is dedicated to ensuring a safe and secure environment for our faculty, staff, students and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees.

Vaccination Statement:

CU Anschutz strongly encourages vaccination against the COVID-19 virus and other vaccine preventable diseases. If you work, visit, or volunteer in healthcare facilities or clinics operated by our affiliated hospital or clinical partners or by CU Anschutz, you will be required to comply with the vaccination and medical surveillance policies of the facilities or clinics where you work, visit, or volunteer, respectively. In addition, if you work in certain research areas or perform certain safety sensitive job duties, you must enroll in the occupational health medical surveillance program.