Insurance Coordinator - School of Dental Medicine

Under limited supervision, the Insurance Coordinator:

• Checks patient insurance eligibility, benefits, limitations and coverage.
• Obtains and tracks prior authorizations and follows up with insurances, patients and internal teams.
• Documents/updates accounts regarding coverage guidelines and limitations.
• Answers eligibility and benefit coverage inquiries.
• Ensures patients understand, consent and are compliantly notified, having signed and consented to treatment costs and notified regarding estimated financial responsibilities, such as, deductibles, co-pays, co-insurance amounts and 100% financial responsibility for non-covered costs.
• Also, communicates with healthcare providers and insurances to ensure required standards and applicable laws are followed, upheld and compliantly met.
• When applicable, makes recommendations for resolutions and notifies/informs, if/when laws and or standards are updated or changed.
• This position's role and responsibilities are deadline driven; requires accuracy and attention to detail.
• Playing an essential and key role in the Dental School's revenue cycle management, the Insurance Coordinator has a direct impact on the clinic's financial and billing outcomes success and acts as a back-up to the billing team, assisting with answering phone calls.
• Performs billing administrative tasks and performs other billing related duties, assists in timely and accurate revenue cycle management outcomes.

• High School degree/GED.
• 2 - 3 years of insurance benefits, eligibility and coverage experience.
• Must be customer service focused (internal and external), with excellent communication, attention to detail, organizational and interpersonal skills.
• Knowledge of dental/medical insurances, insurance processes, billing/healthcare compliance and insurance guidelines, rules, regulations and requirements.
• Working knowledge of prior authorizations, insurance verification, including accurate and timely communication to internal team members and patients regarding eligibility, benefits and coverage.
• Requires expert attention to detail and, ability to effectively communicate technical information, aptitude and willingness to learn and drive change.
• Certified Dental Coder (CDC) within 1 year.

• Bachelor's Degree.
• Experience coordinating benefits.
• Knowledge of Medicare and commercial insurance regulations, guidelines and applicable federal/state healthcare laws.
• Expert knowledge axiUm software.
• Working knowledge of third-party billing.
• Certified Dental Coder (CDC) applicant with 4 - 6 years of medical/dental insurance verification or financial coordination experience in a fast-paced dental/medical healthcare setting.