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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