Insurance Coordinator

The Insurance Collections Coordinator is responsible for reviewing the insurance accounts receivable report and reviewing in detail what treatment and service dates are outstanding.

ESSENTIAL FUNCTIONS:

Process Insurance Claims:

• Enter claims information into database systems.
• Prepare insurance claim forms or related documents and review them for completeness.
• Post or attach information to claim file.
• Transmit claims for payment or further investigation.
• Organize or work with detailed reports and records, using computers to enter, access, search or retrieve data.
• Close out claims or resubmit as necessary, and process in a timely manner and meeting filing deadlines and limits.

Process Collections:

• Verify insurance accounts in patient's history, including demographic information.
• Verify dates of service and payments received.
• Review and verify overdue accounts and track treatment and service dates that are outstanding.
• Contact offices, insurance companies, and providers to obtain missing insurance information and follow up on outstanding insurance claims.

Plan Administration:

• Create, update and input insurance fee schedules into practice management system.
• Create, update and input insurance plan rules into practice management system.
• Contact insurance companies annually or as needed to ensure fee schedules are up to date.
• Process and input patient insurance breakdowns into system.
• Answer any insurance related questions to patients, offices, or departments.

Dental Insurance Coordinator COMPETENCIES:

• Ability to analyze and interpret financial and insurance data.
• Ability to work follow policies and procedures accurately.
• Ability to analyze and solve problems while exercising a moderate degree of judgment.
• Ability to juggle competing demands and priorities and manage time well (both self and others) even when time is short.
• Dependability and outstanding organizational ability, including managing both paper and digital files, with focused attention to detail and follow through.
• Excellent interpersonal skills, including the ability to communicate clearly both verbally and in writing, and maintain a customer-oriented attitude during all interactions, including phone and in person.
• Must be proficient in Microsoft Office and must have experience using websites or software applications to find, review, edit, and submit insurance claims.

REQUIRED AND PREFERRED QUALIFICATIONS:

• Minimum Education: High School diploma
• Required Experience: 2-4 years of healthcare insurance and billing experience, preferably in a dental group.
• Required Knowledge: A working knowledge of dental terminology and dental-related insurance practices and procedures.

SCHEDULING REQUIREMENTS

• Requires some flexibility in scheduling, such as the ability to work evenings and weekends.