Billing Coordinator - School Of Dental Medicine

Overview
Tufts University School of Dental Medicine (TUSDM) offers one of the most forward-looking educational environments in Dental Medicine in the country. Revenue Cycle Operations (RCO) team supports patient care services revenue cycle management, along with other members of the Finance and Administration team, supports the financial management and administration of the dental school. This position reports directly to the Revenue Cycle Administrator and works closely with school clinics it supports: Dental Faculty Practice, Craniofacial Pain and Sleep Center, Oral Medicine, Oral and Maxillofacial Pathology and Tufts Dental Facilities, the Pre-doctoral (students), Postgraduate (residents) Specialty clinical treatment areas, which includes: Endodontics, Orthodontics, Periodontics, Prosthodontics, Pedodontics, Oral and Maxillofacial Surgery, AEGD and Geriatric Dentistry, as well as any needed revenue support for IRB clinical study patients and maintaining CITI certification.
What You'll Do
Under limited guidance, the Billing Coordinator is responsible for providing AR and claims metrics to support daily, monthly, quarterly and yearly revenue and collections goals; timely reviewing of codes for accuracy; accurate timely creation and submission of claims to dental/medical insurance companies; timely resubmission and/or appealing denied claims; answering complex patient claims inquiries; accurate timely reviewing and analyzing AR. Performs patient account analyses and reconciliations, including claims resolutions: post payments; post adjustments and contacts and sends e-mail inquiries to clinic & practice administration, faculty, students and residents that aids in accounts analyses to collections in full and/or to zero balance. Works in conjunction with Clinic Analyst, Staff Accountant and other revenue cycle team members to accurately reconcile patient accounts, performing other claims analytics and/or Finance related duties, to assist in revenue cycle management.
What We're Looking For
Basic Requirements:
* Bachelor's Degree/Associate's Degree preferred OR High School degree/GED and 3-5 years of experience in the finance field or in a related area and dental/medical healthcare knowledge.
* Needs to be driven, Excel knowledge, innovative, independent, self-starter, a leader, team player, analytical intelligence, self-disciplined, exceptional attention to detail, healthcare business or insurance knowledge, ability to effectively communicate technical information, aptitude and willingness to learn and drive change.
* Dental coder certification (CDC) required, or within 1 year of hire date.
Preferred Qualifications:
* Bachelor's Degree preferred.
* Certified Dental Coder (CDC) applicant with 4 - 6 years of medical/dental insurance coding/billing.
* Knowledge of third-party billing.
* Excel expert.
* Knowledge of MassHealth and Medicare regulations and guidelines, as well as commercial dental/medical insurance coding/billing practices.
* Familiarity with ADA codes, CPT Codes and ICD-10 Codes.
* Experience in a fast-paced dental/medical setting.
* Working software knowledge: axiUm.
Pay Range
Minimum $24.00, Midpoint $28.55, Maximum $33.10
Salary is based on related experience, expertise, and internal equity; generally, new hires can expect pay between the minimum and midpoint of the range. Responsibilities
Under limited guidance, the Billing Coordinator is responsible for providing AR and claims metrics to support daily, monthly, quarterly and yearly revenue and collections goals; timely reviewing of codes for accuracy; accurate timely creation and submission of claims to dental/medical insurance companies; timely resubmission and/or appealing denied claims; answering complex patient claims inquiries; accurate timely reviewing and analyzing AR. Performs patient account analyses and reconciliations, including claims resolutions: post payments; post adjustments and contacts and sends e-mail inquiries to clinic & practice administration, faculty, students and residents that aids in accounts analyses to collections in full and/or to zero balance. Works in conjunction with Clinic Analyst, Staff Accountant and other revenue cycle team members to accurately reconcile patient accounts, performing other claims analytics and/or Finance related duties, to assist in revenue cycle management.
Qualifications
Basic Requirements:
* Bachelor's Degree/Associate's Degree preferred OR High School degree/GED and 3-5 years of experience in the finance field or in a related area and dental/medical healthcare knowledge.
* Needs to be driven, Excel knowledge, innovative, independent, self-starter, a leader, team player, analytical intelligence, self-disciplined, exceptional attention to detail, healthcare business or insurance knowledge, ability to effectively communicate technical information, aptitude and willingness to learn and drive change.
* Dental coder certification (CDC) required, or within 1 year of hire date.
Preferred Qualifications:
* Bachelor's Degree preferred.
* Certified Dental Coder (CDC) applicant with 4 - 6 years of medical/dental insurance coding/billing.
* Knowledge of third-party billing.
* Excel expert.
* Knowledge of MassHealth and Medicare regulations and guidelines, as well as commercial dental/medical insurance coding/billing practices.
* Familiarity with ADA codes, CPT Codes and ICD-10 Codes.
* Experience in a fast-paced dental/medical setting.
* Working software knowledge: axiUm.