Job Description & Responsibilities:
Determines insurance eligibility and payment estimates for all patients with dental insurance. Enters the insurance plan details in Dentrix and eligibility information on patient’s appointment. Educates patients, as necessary, regarding their insurance plan and their financial responsibility. Verify insurance for patients scheduled. Answer telephone. Call in PREMEDS for patients as needed. All PREMED and Blood Thinner instructions will need to be obtained from the patient’s appropriate physician. Scan them into the patient record and create alerts on the patient account. Runs the Insurance Aging report weekly and follows-up with insurance companies to resolve payment delays, requests for additional information, or to discuss denials and appeals. Follows up with patients as needed. Also, zero out the claims as necessary and follow-up on filing secondary insurance. Files insurance claims daily and sends information as requested by insurance companies such as x-rays, narratives and photos. Keep the staff and doctors informed of any insurance concerns. The Insurance Coordinator will serve as back up for the Front Office Associate when needed. Post insurance payments to patient records and scan EOB’s into patient records. Administer pre-authorization of insurance benefits. Maintains patient confidentiality and takes every precaution to secure electronic Protected Health Information (PHI) under HIPAA. Other related duties as assigned. Knowledge/Skills/Abilities Knowledge of English composition, grammar, spelling and punctuation. Skilled in the use of basic office equipment such as: telephones, calculators, copier, fax, computers and computer software (MS Excel, Word, Practice Management software). Ability to be professional and maintain composure when dealing with stressful situations. Ability to cooperatively work with the doctors, co-workers and patients and build relationships of trust. Maintain confidence with the patient regarding doctors and staff. Ability to prioritize, organize and complete tasks timely. Ability to accept constructive criticism. Ability to understand and follow written and verbal instructions. Ability to collect data, establish facts and maintain confidentiality. Ability to communicate and express thoughts and ideas clearly and competently. Ability to quickly grasp relevant concepts regarding duties and responsibilities. Greet visitors and patients professionally and courteously.
Qualifications:
High school diploma or equivalent. College Degree preferred. Dental experience preferred. Dentrix/Eaglesoft experience preferred.
How To Apply:
Salary:
Depending on Experience
Contact:
Employer: SGA Dental Partners
Location: Albany, GA
Link: https://sgadental.wd5.myworkdayjobs.com/en-US/Careers/details/Insurance-Specialist_JR100864