Job Description

Description
Job Duties for Insurance/Treatment Plan Coordinator – Dental
Insurance Verification:
Verify private insurance and Medicaid for all locations
Call insurance companies for information or faxes when website access is unavailable.
Call patient to explain (prior to visit) insurance and payment due for all locations.
Complete insurance verification forms for new patients.
Add/update insurance info in Dentrix.
Treatment Plan Coordination:
Present and explain treatment and payment options (insurance/slide) for patients at all locations*
Ensure patients sign acknowledgment of treatment and payment.
Communication & Coordination:
Communicate with the front desk for any insurance/payment issues or balances due throughout the day.
Call patients to explain insurance coverage and balances due.
Prior Authorizations & Pre-Approvals:
Submit and follow up on prior authorizations (PA’s) for Medicaid and private insurance across all locations.
Requirements
EDUCATION/EXPERIENCE
Billing or Coding certification preferred
Experience With Medical And Dental Preferred
Two years of experience in billing operations of a health facility
Ability to observe and document work-flows
Clinical knowledge sufficient to converse with Physicians, Nurse Practitioners, and Physician Assistants
Excellent communication and interpersonal skills with the ability to follow-up and develop positive relationships
Strong healthcare software experience
Ability to read and comprehend general instructions, correspondence, and memos

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