Dental Insurance Specialist

Position Summary Perform all insurance verifications and pre-determinations/pre-authorizations. Understands and assists patients with third party billing systems. Reviews patient’s insurance breakdowns for accuracy. Understands and utilizes CDT codes. Works closely with administrative and clinical staff. Build positive relationships with patients by efficiently, effectively, and courteously communicating information.

Essential Functions To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.

Operate office equipment, such as voice mail messaging systems, and use word processing, label making software, copier, printer and scanner.

Communicates effectively, courteously, and professionally with patients, parents/legal guardians, and clinical and administrative staff.

Informs patient of their fiscal responsibilities with respect to their particular insurance coverage.

Interview patients to complete documents such as insurance forms.

Complete insurance verification forms. Contact patient regarding pre-authorization/pre-determination status.

Understands and utilizes CDT codes.

Position may be responsible for opening the office.

Treats patients, visitors and co-workers with respect and courtesy.

Proficiently uses conflict resolution and problem-solving techniques in managing interpersonal conflict and patient complaints.

Efficiently operates assigned computer software (i.e., Eaglesoft, and Microsoft Office Suite).Prepares and delivers reports on time.

Ensures printed material and forms are up to date. Insurance verification forms are updated semi-annually.

Create and follow up with Medicaid pre-authorizations and traditional insurance pre-determinations. Contact patient for additional insurance information and/or additional documentation.

Communicate patient concerns to Dental Office Manager or Doctor.

Complies with:
Dental Depot policies and procedures; OSHA policies, procedures, rules, and regulations, as well as HIPAA policies.

Schedule approved treatment.

Position may be required to relocate to other Dental Depot clinics either permanently or on a short-term basis due to office needs, on an as needed basis at the discretion of Management.

This position may complete other Administrative and Maintenance tasks as assigned by Management.

Maintain regular and reliable attendance

Skills & Abilities

Education:

High School Graduate or General Education Degree (GED):

Required Experience:

No prior experience necessary.

Certifications & Licenses:

None Computer

Skills:

Efficiently operates assigned computer software and other equipment, including Eaglesoft and Microsoft Office Suite.

Other Requirements:

Must have a valid driver's license, proof of valid vehicle insurance and must have annual Motor Vehicle Record Check, as a condition of employment if employee operates any Company owned vehicles or drives their own personal vehicle for Company business purposes.

Must have knowledge of CDT Codes and pass the bi-annual Dental Depot CDT codes test.

Position Qualifications Communication, Written
- Ability to communicate in writing clearly and concisely.

Ethical
- Ability to demonstrate conduct conforming to a set of values and accepted standards.

Customer Oriented
- Ability to take care of the customers’ needs while following company procedures.

Communication, Oral
- Ability to communicate effectively with others using the spoken word.

Research Skills
- Ability to design and conduct a systematic, objective, and critical investigation.

Organized
- Possessing the trait of being organized or following a systematic method of performing a task.

Detail Oriented
- Ability to pay attention to the minute details of a project or task.

Accuracy
- Ability to perform work accurately and thoroughly.

Friendly
- Ability to exhibit a cheerful demeanor toward others.

Honesty / Integrity
- Ability to be truthful and be seen as credible in the workplace.

Safety Awareness
- Ability to identify and correct conditions that affect employee safety.

Self-Motiva…