University of California, Santa Cruz
Insurance Advocate
University of California, Santa Cruz, California, Missouri, United States, 65018
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JOB POSTING UC Santa Cruz Student Health Services is excited to announce a new opportunity for an Insurance Advocate. We’re looking for a detail oriented, student focused professional to support insurance navigation at the UCSC Student Health Center. In this role, you will assist students with insurance questions, verify eligibility and coverage, coordinate referrals and authorizations, manage data across multiple systems, and partner with internal departments and external providers to ensure timely, accurate support.
At UC Santa Cruz, our main campus offers a stunning setting and a vibrant community where over 3,100 staff members build meaningful careers, enjoy comprehensive benefits, and contribute to a mission that makes a difference.
Benefits
Medical, dental, and vision insurance plans
UC Retirement Pension Plan
Optional life, legal, and pet insurance
Paid holidays, plus accrued vacation and sick leave
Discounts at UCSC recreation facilities
For details, please visit: UCnet-Benefits
How To Apply
For full consideration, applicants should attach a resume and cover letter when applying for a job opening.
For guidance related to the application process or if you are experiencing difficulties when applying, please review the Applicant Resources on our website.
Schedule Information Full-time, Fixed
Percentage of Time: 100%, 40 Hours per Week
Days of the Week: Mon-Fri
Shift Includes: Day
Job Duties 40% – Insurance Navigation and Student Support
Assists students and staff with UC SHIP, CruzCare, and private insurance inquiries.
Provides guidance on insurance policies, billing procedures, and benefit navigation.
Educates students on referral processes and supports navigation of complex insurance requirements.
Provides follow-up with students via email and secure messaging via EMR.
Documents patient encounters and related communications.
Provides vision benefit information and schedules Optometry appointments.
25% – Eligibility, Coverage Verification and Referrals
Verifies eligibility and confirms insurance coverage.
Tracks referrals and retro-referrals to support timely follow-up and quality monitoring.
Obtains prior authorizations for advanced imaging by reviewing chart notes and submitting required clinical information.
Communicates with UC SHIP and carrier representatives regarding coverage, benefits, and services.
20% – Administrative Duties and Data Management
Processes quarterly UC SHIP waiver requests.
Maintains insurance data in FileMaker and updates student account information in AIS.
Processes Health Fund financial support applications.
Coordinates and authorizes approved Uber Health ride requests.
15% – Interdepartmental & External Coordination
Coordinates with internal UCSC units and external providers, facilities, and claims processors.
Participates in annual plan review and process improvement efforts by contributing feedback on plan performance.
Required Qualifications
High school diploma or equivalent experience.
One year experience in a medical office or healthcare administrative setting.
Knowledge of medical office procedures and medical records workflows.
Experience using medical terminology and strong understanding of healthcare delivery.
Experience with electronic medical records, scheduling, and data entry.
Experience working across multiple information systems and validating data accuracy.
Ability to explain complex information clearly in writing and verbally to diverse populations.
Ability to research and resolve complex administrative problems.
Strong organization and attention to detail; able to proofread for accuracy.
Ability to prioritize multiple tasks with frequent interruptions.
Demonstrated customer service and active listening skills.
Ability to handle confidential and sensitive situations with tact and professionalism.
Ability to work effectively with clinical staff, supervisors, external providers, patients, and families.
Awareness and respect for cultural and lifestyle diversity.
Preferred Qualifications
One year of clerical experience in a medical healthcare environment with demonstrated proficiency in navigating electronic medical record platforms, coordinating and resolving insurance claim issues, obtaining clinical service authorizations, and managing high-volume, multi-line phone systems.
Employment Conditions
Selected candidate will be required to pass a pre-employment criminal history background check.
Selected candidate must pass the employment misconduct disclosure process.
The selected candidate will be required to work all scheduled hours on-site.
The selected candidate will be required to take a TB test within 60 days of hire.
The selected candidate will be required to complete training within established time frames as directed including UC compliance training.
Complete Health Insurance Portability and Accessibility (HIPAA) training within 30 days of hire.
Will be required to comply with current Student Health Center employee health safety requirements for health care workers as defined by state and federal regulatory agencies.
Ability to maintain appearance and conduct suitable for working in a professional setting.
The University of California has implemented a Vaccination Policy covering all employees. Employees, including new hires, are required to comply with any applicable policies relating to the University of California vaccine program.
Per the Child Abuse and Neglect Reporting Act (CANRA), this position has been identified as a Mandated Reporter. The selected candidate will be required to report known or suspected child abuse or neglect as defined by CANRA and will be required to sign a Statement Acknowledging Requirement to Report Child Abuse prior to commencing employment.
Safety Statement All UCSC employees must understand and follow job safety procedures, attend required health and safety training, proactively promote safety at work, and promptly report actual and potential accidents and injuries.
Compensation Budgeted Salary: $29.38 per hour (expected to remain at or below this amount).
EEO/AA Statement The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status or other protected categories covered by the UC Anti-Discrimination Policy. It is the policy of the University of California to undertake affirmative action and anti-discrimination efforts, consistent with its obligations as a Federal and State contractor.
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JOB POSTING UC Santa Cruz Student Health Services is excited to announce a new opportunity for an Insurance Advocate. We’re looking for a detail oriented, student focused professional to support insurance navigation at the UCSC Student Health Center. In this role, you will assist students with insurance questions, verify eligibility and coverage, coordinate referrals and authorizations, manage data across multiple systems, and partner with internal departments and external providers to ensure timely, accurate support.
At UC Santa Cruz, our main campus offers a stunning setting and a vibrant community where over 3,100 staff members build meaningful careers, enjoy comprehensive benefits, and contribute to a mission that makes a difference.
Benefits
Medical, dental, and vision insurance plans
UC Retirement Pension Plan
Optional life, legal, and pet insurance
Paid holidays, plus accrued vacation and sick leave
Discounts at UCSC recreation facilities
For details, please visit: UCnet-Benefits
How To Apply
For full consideration, applicants should attach a resume and cover letter when applying for a job opening.
For guidance related to the application process or if you are experiencing difficulties when applying, please review the Applicant Resources on our website.
Schedule Information Full-time, Fixed
Percentage of Time: 100%, 40 Hours per Week
Days of the Week: Mon-Fri
Shift Includes: Day
Job Duties 40% – Insurance Navigation and Student Support
Assists students and staff with UC SHIP, CruzCare, and private insurance inquiries.
Provides guidance on insurance policies, billing procedures, and benefit navigation.
Educates students on referral processes and supports navigation of complex insurance requirements.
Provides follow-up with students via email and secure messaging via EMR.
Documents patient encounters and related communications.
Provides vision benefit information and schedules Optometry appointments.
25% – Eligibility, Coverage Verification and Referrals
Verifies eligibility and confirms insurance coverage.
Tracks referrals and retro-referrals to support timely follow-up and quality monitoring.
Obtains prior authorizations for advanced imaging by reviewing chart notes and submitting required clinical information.
Communicates with UC SHIP and carrier representatives regarding coverage, benefits, and services.
20% – Administrative Duties and Data Management
Processes quarterly UC SHIP waiver requests.
Maintains insurance data in FileMaker and updates student account information in AIS.
Processes Health Fund financial support applications.
Coordinates and authorizes approved Uber Health ride requests.
15% – Interdepartmental & External Coordination
Coordinates with internal UCSC units and external providers, facilities, and claims processors.
Participates in annual plan review and process improvement efforts by contributing feedback on plan performance.
Required Qualifications
High school diploma or equivalent experience.
One year experience in a medical office or healthcare administrative setting.
Knowledge of medical office procedures and medical records workflows.
Experience using medical terminology and strong understanding of healthcare delivery.
Experience with electronic medical records, scheduling, and data entry.
Experience working across multiple information systems and validating data accuracy.
Ability to explain complex information clearly in writing and verbally to diverse populations.
Ability to research and resolve complex administrative problems.
Strong organization and attention to detail; able to proofread for accuracy.
Ability to prioritize multiple tasks with frequent interruptions.
Demonstrated customer service and active listening skills.
Ability to handle confidential and sensitive situations with tact and professionalism.
Ability to work effectively with clinical staff, supervisors, external providers, patients, and families.
Awareness and respect for cultural and lifestyle diversity.
Preferred Qualifications
One year of clerical experience in a medical healthcare environment with demonstrated proficiency in navigating electronic medical record platforms, coordinating and resolving insurance claim issues, obtaining clinical service authorizations, and managing high-volume, multi-line phone systems.
Employment Conditions
Selected candidate will be required to pass a pre-employment criminal history background check.
Selected candidate must pass the employment misconduct disclosure process.
The selected candidate will be required to work all scheduled hours on-site.
The selected candidate will be required to take a TB test within 60 days of hire.
The selected candidate will be required to complete training within established time frames as directed including UC compliance training.
Complete Health Insurance Portability and Accessibility (HIPAA) training within 30 days of hire.
Will be required to comply with current Student Health Center employee health safety requirements for health care workers as defined by state and federal regulatory agencies.
Ability to maintain appearance and conduct suitable for working in a professional setting.
The University of California has implemented a Vaccination Policy covering all employees. Employees, including new hires, are required to comply with any applicable policies relating to the University of California vaccine program.
Per the Child Abuse and Neglect Reporting Act (CANRA), this position has been identified as a Mandated Reporter. The selected candidate will be required to report known or suspected child abuse or neglect as defined by CANRA and will be required to sign a Statement Acknowledging Requirement to Report Child Abuse prior to commencing employment.
Safety Statement All UCSC employees must understand and follow job safety procedures, attend required health and safety training, proactively promote safety at work, and promptly report actual and potential accidents and injuries.
Compensation Budgeted Salary: $29.38 per hour (expected to remain at or below this amount).
EEO/AA Statement The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status or other protected categories covered by the UC Anti-Discrimination Policy. It is the policy of the University of California to undertake affirmative action and anti-discrimination efforts, consistent with its obligations as a Federal and State contractor.
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