Dental Insurance and Billing Coordinator Job Description

REPORTS TO

Director of Practice Operations

KEY PARTNERSHIPS

• Back Office Supervisor • Business Manager

• Brand Manager • Practice Owner, Associate Doctors

Responsibilities Overview

The Dental Insurance and Billing Coordinator is a key member and contributor to the success of the Practice. This “attention to detail” position provides in depth support for all insurance related duties of the office while meeting or exceeding daily collection goals.

Any charges, adjustments, and financial arrangements etc. must be handled appropriately and with urgency, ensuring that all providers' patients are scheduled with collection efforts pre-set to meet our Daily Primary Outcome. This position is responsible for the coordination and processing of insurance payments, verifications, all billing, coordination of benefits, and ongoing communications with insurance carriers. Great interpersonal skills are required to build rapport with the patients, staff and insurance carriers.

Insurance and Billing skills and qualifications

• Strong communication, including writing, speaking and active listening

• Great customer service skills, including interpersonal conversation, patience and empathy • Good problem-solving and critical thinking skills

• In-depth knowledge of industry best practices

• Basic math, bookkeeping and accounting skills

• Organization, time management and prioritization abilities

• Ability to be discreet and maintain the security of patient or customer information

• Effective computer skills to input to use bookkeeping and account management software in a timely and efficient manner

• Understanding of industry-specific policies, such as HIPAA regulations for health care received and completed ,thank you letters and gift cards if needed to all who refer patients to the practice once per month.

Responsibilities:

• The Dental Insurance and Billing Coordinator responsibilities include maintaining accurate, confidential financial records and payment procedures.

• They work closely with customers, patients or company personnel to create invoices and check for calculation errors on invoices and other billing statements.

• Their job is to contact customers to remind them of upcoming payment deadlines and help customers find financial aid options to reduce their medical or insurance bills.

• They may also be responsible for converting medical code into a readable format and using software programs to organize payment data.

• Preparing and issuing invoices and submitting insurance claims, for dental procedures. • You should also be able to liaise with insurance providers to elucidate patients' coverage and to resolve disputes about rejected claims.

• Verify correct insurance coverage notes, and documentation for each insured patient is listed in the patient's chart and document center.

• Note any changes in insurance coverage as needed.

• Follow up on outstanding insurance claims-Work with team members to gather clinical and billing information

• Process and post insurance payments to patient accounts-Answer insurance billing and payment questions,demonstrate the ability to remain composed during stressful situations

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ROLES & RESPONSIBILITIES – Dental Insurance and Billing Coordinator

Insurance and Billing

• Processes all insurance billings for patient services.

• Responsible for insurance verifications and accurate communications to staff and

patients regarding the insurance coverage.

• Coordinates and process payments from insurance carriers and troubleshoots any

issues related to these payments.

• Ensures coordination of benefits are accurate and considered as part of the financial

planning.

• Serves as a liaison between insurance carriers, staff and patients to resolve any

concerns and maintain a positive working relationship.

• Ensures all insurance related duties are completed in a timely and accurate manner to

ensure excellent patient relations and financial success for the Practice.

• Achieves revenue goals by effectively managing collections and receivables, specialty

referral process, insurance billing and miscellaneous operations expenses

• Manages and assists designated office team members with appropriate payment and

insurance processes

• Makes definite financial agreements with each patient in accordance with office policy

confirming payment is received, and following up on denied or unpaid claims to

maximize each office's financial health status.

Other duties as required.

Other Duties

• Assist the Business Assistants as necessary.

• Assist in building trust with all patients.

• Come to required meetings with reporting on all RCM (Revenue Cycle Management) including but not limited to Insurance Aging report, Patient Aging, tracking claims.

Job Type: Full-time

Pay: $15.00 - $18.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work Location: One location

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