Clinical Insurance Specialist Pre-Doc GPClinics Position Control Number CIS Job Baltimore area,Maryland USA,Dental / Dentistry

U.M. FDSP Associates is a non-profit affiliate of the University of Maryland School of Dentistry. U.M. FDSP Associates is the organization that provides patient care focused staffing for the clinic operations sothat faculty and students may provide patient care to the general public

We offer a comprehensive benefits package to support work-life balance and employee well-being. Our benefits include:

Time Off
:
Generous paid vacation,sick leave, and personal days, plus 17 paid Federal holidays. Enjoy Thanksgiving Day and the Friday after Thanksgiving off, as well as a full winter break from Christmas Day through New Year’s Day.
Health Coverage
:
Medical, dental, and vision insurance, along with short-term and long-term disability, and life insurance options.
Retirement
: 401(k) with a competitive employer match of up to 6%.
Work Schedule
:
Normal operations hours are Monday through Friday.

We prioritize flexibility, health, and financial security, creating an environment where employees can thrive both professionally and personally.

Under general supervision accurately and professionally clarifies and supports the administrative requirements of the various commercial patient dental insurance plans. Additionally, is accountable for a range of operational and administrative duties.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Investigate and research information to resolve dental insurance discrepancies.

Handle incoming calls including the processing of credit card payments over thephone.

Coordinate with Business Manager, Account Specialists, and Program Assistants the required dental insurance paperwork and dental x-ray documentation.

Contact the various dental insurance companies by phone to obtain missing or incomplete information so that accounts will be billed correctly.

Update Axium with new dental insurance plans as needed.

Verify patient dental insurance eligibility with numerous insurance companies including Medicaid.

Update patient dental insurance and personal information as needed.

Update third party liability through Medicaid to ensure the latest dental insurance revisions.

Obtainpre-authorizations from insurance companies to ensure patient is eligible for treatment prescribed by doctor.

Manage patient dental insurance plans and contracts including patient records,insurance templates, and master files.

Rebill treatment and planned treatment tocurrent insurance.

Run insuranceA/R report monthly.

Coordinate with dental providers to obtain necessary information (i.e. narratives,treatment notes) in order to submit accurate claims and to resolve disputes/appeals.

Note:

The intent of this list of primary duties is toprovide a representative summary of the major duties and responsibilities ofthis job. Incumbents perform other related duties assigned. Specific dutiesand responsibilities may vary based upon departmental needs.

EDUCATION and/or

EXPERIENCE:

High school diploma or general education degree (GED); 1 - 3years’ related experience. Related education may be substituted for experience on a year for year basis.

Required Knowledge / Skills / Abilities:

Knowledge of commercial dental insurance policies, services,guidelines, and procedures.

Skilled in dental terminology. Skilled in written disputes of non-payment for services due to processing errors. Skilled in communicating insurance policies and procedures to patients and services providers.

Ability to ensure commercial dental insurance compliance and payment of services. Ability to analyze insurance notification of…