Student Health Insurance Billing Analyst

Working Title: Student Health Insurance Billing Analyst

Classification Title: Administrative Analyst/Specialist Exempt I

Posting Details 

Note to Applicants: This position is still open and actively accepting new applications. Apply today! (Prior applicants need not re-apply.)

Update: As of 12/18/23, this position has been updated to reflect the new working title "Student Health Insurance Billing Analyst". This position was previously posted as "Student Health Athlete Care Analyst". No other details of the job posting have been updated.

Priority Application Date (Posting will remain open until filled): Tuesday, October 31, 2023 @ 11:55pm PT

Hiring Preference

Eligible on-campus applicants in California State University Employees Union (CSUEU) Bargaining Units 2,5,7, and 9 will be given first consideration in the recruitment.

Position Summary

Under general direction of the Associate Director Health, Wellness and Performance, and Sr. AVP or designee, the Student Health Insurance Billing Analyst serves students and student athletes, ensuring optimal health care management regarding insurance benefits and medical service referrals for injured students and student athletes.

The Insurance Billing Analyst uses knowledge of the medical Insurance Billing policies, procedures, regulations, and practices, together with a thorough understanding of NCAA rules and regulations to navigate medical treatment plans, insurance reimbursements, and related actions on behalf of, or together with, student athletes. In addition, the Insurance Billing Analyst reviews and submits Insurance Billing in PnC, Family Pact, and Medi-Cal. The Insurance Billing Analyst works collectively with students, staff, and administrators to develop and implement strategies for student care that provide the best possible medical outcomes for students while also ensuring medical expenses are correctly pre-approved, coded and/or explained in a manner that supports insurance payment or reimbursements. This position also interprets policies and procedures, statutory regulations, athletics insurance policies, and guidelines established by the CSU, Office of Risk Management regarding insurance requirements and coverages and provides information direction and recommendations to the Athletics Department.

FLSA: Exempt (Not eligible for overtime compensation)

Anticipated Hiring Range: $4,379  - 6,300 per month

CSU Classification Salary Range: $4,379 - $7,922 per month

Best-in-class Benefits: Click here to learn more

CSU Total Compensation: Click here to learn more

Salary Grade/Range: 2

Recruitment Type: Regular (Probationary)

Time Base: Full-Time

Pay Plan: 12 months 

Work Hours: To be determined at time of hire.

Department Information 

Student Health & Counseling Services (SHCS) embraces a holistic and collaborative approach to healthcare by offering urgent care, primary care, preventative services, wellness education, violence support services, and mental health, services to the Sacramento State campus community.  SHCS is committed to providing quality care and service delivery and is accredited through the Accreditation Association for Ambulatory Health Care (AAAHC).

Minimum Qualifications 

Entry to this classification requires general knowledge and skills in the applicable administrative and/or program field with a foundational knowledge of public administration principles, practices, and methods. This foundation would normally be obtained through a bachelor's degree and/or equivalent training and administrative work experience involving study, analysis, and/or evaluation leading to the development or improvement of administrative policies, procedures, practices, or programs.

Required Qualifications 

1. General knowledge of the principles, practices and trends of the student care as it pertains to sports medicine, insurance, referrals and related matters impacting students.
2. Ability to communicate in writing and conduct staff in-service to inform staff of changes to the Insurance Billing program.
3. General knowledge of the policies, procedures and practices of statutory regulations and athletic insurance policies, Family Pact requirements, Medi-Cal.
4. General knowledge of regulations, CSU policies to analyze and evaluate questions and problems and provide appropriate recommendations.
5. General knowledge of the organizational procedures and activities involving the case management needs of student athletes who are navigating through the medical referral or insurance claims process.
6. Working knowledge of the collegiate athletics and Student Health center structures.
7. Ability to analyze complex situation accurately and adopt effective courses of action.
8. Advise student individually and in groups on complex student-related matters.
9. Ability to determine appropriate courses of action and proper techniques to utilize while engaged with individuals in personal interactions of an argumentative or sensitive nature.
10. Ability to evaluate insurance policies and provide recommendations.
11. Ability to carry out a variety of professionally complex assignments without detailed instructions
12. Establish and maintain cooperative working relationships with a variety of individuals.
13. Knowledge of HIPAA standards and confidentiality as required for medical information.
14. Ability to coordinate with various on campus stakeholders SSWD, CARES, SARC etc., and advocating for student needs.
15. Commitment to maintaining a welcoming and inclusive work environment with diverse colleagues and constituents including faculty, students, staff, and members of the community

Conditions of Employment

 -  Ability to pass a background check

Preferred Qualifications 

1. Minimum three years of student service work experience.
2. Minimum of 1 year in the program area to which assigned.
3. Experience working with an Electronic Health Record System.
4. Experience in direct care, case management, Insurance Billing or referral coordination.
5. Experience working in an integrated university health and athletics department or equivalent work experience.
6. Certified Medical Reimbursement Specialist (CMRS).
7. Experience in coding both current ICD and CPT -10 and HCPCS coding systems.
8. Current BLS American Heart Association.

Documents Needed to Apply

Resume (CV), Cover Letter

Failure to upload required documentation may result in disqualification.

About Sacramento State

Sacramento State is located in the heart of California's capital city, five miles from State Capitol. The lush, 300-acre campus is situated along the American River, close to numerous bike trails and other recreational areas. Sacramento, also known as the "Farm-to-Fork Capital," is one of the most ethnically diverse and livable cities in the country, with a population of half of a million. Sacramento State is a Hispanic and AANAPISI serving institution with about 31,000 students coming not only from the Greater Sacramento Region, but also from across the state, country, and world. Our 1,800 faculty and 1,500 staff are committed to meeting our mission:

"As California's capital university, we transform lives by preparing students to lead, serve, and succeed. Sacramento State will be a welcoming, caring, and inclusive leader in education, innovation, and engagement." As the regional hub of higher education, Sacramento State is dedicated to learning and student success; teaching, research, scholarship and creative activity; justice, diversity, equity and inclusion; resource development and sustainability; dedicated community engagement, and wellness and safety.

As evidenced by the values embedded in our Hornet Honor Code, Sacramento State is committed to creating an inclusive environment where all faculty, staff, students, and guests are welcome and valued.  Our commitment is more than simply ensuring that our campus is free from bias and discrimination, but is one devoted to celebrating many diverse identities, life experiences, and perspectives that enrich our community, teaching and learning. 

To learn more about why you should join the Hornet Family, please visit the Why Sac State? page.

Equal Employment Opportunity

California State University, Sacramento is an Affirmative Action/Equal Opportunity Employer and has a strong institutional commitment to the principle of diversity in all areas. We consider qualified applicants for employment without regard to race, color, religion, national origin, age, sex, gender identity/expression, sexual orientation, pregnancy, genetic information, medical condition, marital status, veteran status, or disability. Sacramento State hires only those individuals who are lawfully authorized to accept employment in the United States.

It is the policy of California State University, Sacramento to provide reasonable accommodations for qualified persons with disabilities who are employees or applicants for employment. If you need a disability related reasonable accommodation as part of the application and/or interviewing process, visit https://www.csus.edu/administration-business-affairs/human-resources/benefits/reasonable-accomodation.html.

The University is committed to creating an education and working environment free from discrimination, sexual harassment, sexual violence, domestic violence, dating violence, and stalking. For more information on mandatory training for new employees, visit https://www.csus.edu/administration-business-affairs/human-resources/learning-development/csu-learn.html.

Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act and Campus Fire Safety Right-To-know Act Notification:

Pursuant to the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act, the current Annual Security Report (ASR) is available for viewing at https://www.csus.edu/clery.

The ASR contains the current security and safety-related policy statements, emergency preparedness and evacuation information, crime prevention and sexual assault prevention information, and drug and alcohol prevention programming. The ASR also contains statistics of Clery Act crimes for Sacramento State for the last three (3) calendar years. Paper copies are available upon request at the Police Service Center located in the University Union.

Background Check Disclaimer

A background check (including a criminal records check) must be completed satisfactorily before any candidate can be offered a position with California State University, Sacramento. Failure to satisfactorily complete the background check may affect the application status of applicants or continued employment of current California State University, Sacramento employees who apply for the position.

COVID-19 Vaccination Policy

Effective May 2023, per the CSU COVID-19 Vaccination Policy, it is strongly recommended that all California State University, Sacramento employees who are accessing office and campus facilities follow COVID-19 vaccine recommendations adopted by the U.S. Centers for Disease Control and Prevention (CDC) and the California Department of Public Health (CDPH) applicable to their age, medical condition, and other relevant indications. 

Out of State Employment

Sacramento State University, as part of the CSU system, is a State of California Employer. As such, the University requires all employees (up)on date of hire to reside in the State of California.

As of January 1, 2022 the CSU Out-of-State Employment Policy prohibits the hiring of employees to perform CSU-related work outside the state of California.

Eligibility Verification

Selected candidate must furnish proof of eligibility to work in the United States. California State University, Sacramento is not a sponsoring agency for staff and management positions (i.e. H-1-B Visa). 

Note to Applicants:

Possession of the minimum qualifications does not guarantee an interview unless required by collective bargaining agreement.