Insurance Administrator/ Dental & Medical Claims Processor

The insurance administrator works as a member of our business operations and patient experience team. The insurance administrator executes the full range of tasks required for insurance verification, pre-authorization, dental and medical claim processing, collections for both aged claims and patient account payments.

Duties and Responsibilities

• Oversee insurance processes for claim processing, payments, collections.
• Oversee outstanding balances for patient accounts and collections.
• Manage insurance data and reporting.
• Assist with insurance verification for patients.
• Ensure pre-authorization for insurance prior to each procedure.
• Communicate with individual patients as needed to answer any questions.
• Collaborate with insurance companies as needed regarding claims.
• Assist with submission of all requirements as necessary to ensure payment.
• Collaborate with third parties as necessary to complete tasks.
• Serve as the patient’s advocate.
• Perform other duties as assigned.

Qualifications

• High school diploma or equivalent; associate or bachelor’s degree preferred.
• Minimum 2 years’ experience as an insurance administrator; minimum 2-3 year in dental setting, preferred.
• Proficient in insurance terminology.
• Proficient in dental terminology, preferred.
• Keen attention to detail with high degree of accuracy.
• Able to perform multiple tasks simultaneously.
• Ability to prioritize to meet deadlines.
• Self-directed, requiring minimal supervision or oversight.
• Excellent follow up and follow through.
• Strong written and oral communication skills.
• Professional phone etiquette.
• Ability to creatively solve problems.
• Advanced computer and office skills, including the use of scanners, printers, cloud-based claim submissions.