Dental Pre-Authorization & Coding Specialist

Position Details
Position Information
Recruitment/Posting Title
Dental Pre-Authorization & Coding Specialist
Job Category
Staff & Executive - Allied Health - Dental Assisting
Department
RHUDA - New Brunswick
Overview
Posting Summary
Rutgers School of Dental Medicine (RSDM) is seeking a Dental Pre-Authorization & Coding Specialist for Rutgers Health University Dental Associates (RHUDA) - New Brunswick.
Under general supervision of the Program Administrator, this position carries out a variety of services related to submission of patients' pre-authorization to insurance in an assigned section of RHUDA New Brunswick. This position performs patient third party Pre-Authorization/Pre-Certification for Medicaid, Medicaid HMO, Medicare, other third-party payors, and electronic claims submission. The Dental Pre-Authorization & Coding Specialist ensures accurate and timely processing of all patients Pre-Authorization insurance submission, follow up and correspondence for RHUDA-New Brunswick.
Among the key duties of this position are the following:

• Performs pre-billing preparations required for electronic and manual pre-authorization claim submissions for Faculty Practice New Brunswick.
• Prepares and submits insurance company forms with appropriate codes and fees to ensure optimal billing submissions and collections.
• Reviews explanation of benefits and determines when problems with treatment that have been authorized/denied exist. Contacts preparers of source documents to resolve questions, inconsistencies, or missing data.
• Provides follow up on all incorrect and/or incomplete pre-authorization. Contacts insurance companies to resolve issues.
• Reviews pre-bill edit/error reports and makes necessary corrections; submits claims.
• Prepares and submits Medicaid/Medicaid HMO and other third-party payor preauthorization. Enters notes into axiUm on status of pre-authorization.
• Monitors rejections from Emdeon, makes corrections and resubmits claims as necessary.
• Provides statistical information to the Billing Manager on the number of denials and rejections reviewed and corrected.
• Submits appeals to insurance to overturn denied pre-authorizations.

Position Status
Full Time
Hours Per Week
Daily Work Shift
Day
Work Arrangement
This position requires a fully on-site work arrangement.
FLSA
Nonexempt
Grade
2325
Position Salary
$31.46
Annual Minimum Salary
31.460
Annual Mid Range Salary
31.960
Annual Maximum Salary
32.920
Standard Hours
40.00
Union Description
Teamsters, Local 97
Payroll Designation
PeopleSoft
Benefits
Rutgers offers a comprehensive benefit program to eligible employees. For details, please go to http://uhr.rutgers.edu/benefits/benefits-overview.
Seniority Unit
Terms of Appointment
Staff - 12 month
Position Pension Eligibility
PERS
Qualifications
Minimum Education and Experience

• Three (3) years of prior general office/ billing experience (particularly in dental office setting), one (1) year of which shall have been included billing, dental and medical insurance activities, and CDT coding required.

Certifications/Licenses
Required Knowledge, Skills, and Abilities

• Experience in accessing and retrieving information from a computer database is required.
• Proficient in dental software systems is required.

Preferred Qualifications

• Experience with AxiUm Dental Management Software preferred.

Equipment Utilized
Physical Demands and Work Environment

• Standing, sitting, walking, talking, and hearing.
• No special vision requirements.
• Must be able to lift or exert force up to ten (10) pounds.
• Office environment. Moderate noise.

Special Conditions
Posting Details
Posting Number
24ST0260
Posting Open Date
Special Instructions to Applicants
Regional Campus
Rutgers Biomedical and Health Sciences (RBHS)
Home Location Campus
Off Campus
City
New Brunswick
State
NJ
Location Details
Pre-employment Screenings
All offers of employment are contingent upon successful completion of all pre-employment screenings.
Immunization Requirements
Under Policy 60.1.35 Immunization Policy for Rutgers Employees and Prospective Employees, Rutgers University requires all prospective employees to provide proof that they are vaccinated against COVID-19 prior to commencement of employment, unless the University has granted the individual a medical or religious exemption. Rutgers University may require certain prospective employees to receive an updated (bivalent) vaccine dose. Under Policy 100.3.1 Immunization Policy for Covered Individuals, if employment will commence during Flu Season, Rutgers University may require certain prospective employees to provide proof that they are vaccinated against Seasonal Influenza for the current Flu Season, unless the University has granted the individual a medical or religious exemption. Additional infection control and safety policies may apply. Prospective employees should speak with their hiring manager to determine which policies apply to the role or position for which they are applying. Failure to provide proof of vaccination for any required vaccines or obtain a medical or religious exemption from the University will result in rescission of a candidate's offer of employment or disciplinary action up to and including termination.
Affirmative Action/Equal Employment Opportunity Statement
It is university policy to provide equal employment opportunity to all its employees and applicants for employment regardless of their race, creed, color, national origin, age, ancestry, nationality, marital or domestic partnership or civil union status, sex, pregnancy, gender identity or expression, disability status, liability for military service, protected veteran status, affectional or sexual orientation, atypical cellular or blood trait, genetic information (including the refusal to submit to genetic testing), or any other category protected by law. As an institution, we value diversity of background and opinion, and prohibit discrimination or harassment on the basis of any legally protected class in the areas of hiring, recruitment, promotion, transfer, demotion, training, compensation, pay, fringe benefits, layoff, termination or any other terms and conditions of employment. For additional information please see the Non-Discrimination Statement at the following web address: http://uhr.rutgers.edu/non-discrimination-statement