Dental Insurance Specialist

Description:

Primary Responsibilities

The dental insurance specialist is responsible for the insurance billing and follow up to aid in financial aspects of our orthodontic offices to allow the company to achieve its’ short term and long term objective, as determined by the leadership team. The insurance specialist is a key member and contributor to the success of the practice. This “attention to detail” position provides in depth support for all insurance related duties of the office. This position is responsible for accurate and complete entry of all insurance carriers and their benefits. These detail s will aid in all processing of insurance payments. Great interpersonal skills are required to build rapport and calling on those past due claims. They are also responsible for submitting letters and/or provider disputes to secure what benefits we can provide for our patients.

Duties

Acts as a liaison between the organizations, its insurance provider, claimants and policy holders regarding their eligibility for coverage for all relevant claims
Reviews benefit details to make sure that billing requirements are met, as well as daily electronic billing and paper billing of insurance claims
View reports monthly and follow up on all past due claims
Medi-Cal claim billing and follow up on all past due claims
Generate narrative letters or provider disputes to secure any benefits
Calling or writing the responsible party to collect any new policy details
Answer any incoming calls from insured or responsible party with insurance concerns or questions

Tasks

Ensure all information, whether from responsible party or insurance, are posted correctly for all offices
Ensure all new insurance policies presented to the office have been called and certified for billing purposes
Ensure there is contact made to the responsible party for all insurance declines or if additional information is required
Ensure work environment is maintained in a safe and comfortable condition
Requirements:

Physical and Environmental Requirements

May be required to lift up to 25 pounds (a box of copy paper or a bottle of the water for the cooler)
Required ability to sit up to 6-8 hours per day with intermittent walking, standing or bending
Vision: working 6-8 hours per day viewing a computer monitor, working on accounts, reading emails
Hearing: Able to satisfactorily communicate by telephone with patients, doctors, and other staff members within HQ to ensure verbal communication is clearly understood, or a satisfactory-equivalent method of communication
Finger dexterity is needed to access, enter and retrieve data using a computer keyboard