Insurance Coordinator

Job Type
Full-time
Description
We are looking for a detail-oriented, reliable team member for our fast-paced office. We value our employees and strive to offer a fun and educational work atmosphere. If you want to be part of a team that rewards employees with positive feedback, retirement plan, paid vacation, health benefits, continuing education benefits and other great incentives; Apply today!
• Answers phone calls to the standards of exceptional customer service and schedules appointments.
• Demonstrates knowledge of types of office appointments and has master knowledge of scheduling guidelines for each doctor.
• Maintains effective communication with all other front office staff and works as a team to complete all responsibilities and helps other staff when needed.
• Obtain a breakdown of benefits from the patient's insurance company.
• Responsible for making sure the breakdown of benefits is documented correctly on the office frequencies and limitations sheet.
• Responsible for making sure insurance is entered into Eaglesoft correctly at the percentages/amounts obtained from the patient's insurance company.
• Enters correct insurance information in the office policy format into the patient's memo.
• Ensures returning patient's new insurance information is entered correctly and old insurance information is removed.
• Uses the company insurance flow chart from start to finish to make sure that symbols and alerts are used for patients to indicate when insurance is complete, new insurance information is needed, patient is inactive, parent of the patient will owe out of pocket for services.
• Documents in the account note follow-ups with insurance carriers and who was spoken with and what they said, should a problem arise with a policy, as well as the parent contacted.
• Works with doctor, dental clinical staff and office manager to ensure that correct diagnosis/procedures are reported to third party insurance companies.
• Keeps updated with all billing and benefit changes for third-party insurance companies.
• Monitors claims for missing information.
• Maintains confidentiality of all information.
• Completes work within authorized time to assure compliance with department and company standards.
• Demonstrates knowledge of, and supports, St. Louis Pediatric Dentistry mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality standards, and code of ethical behavior.
• Performs other duties as required.
Requirements

• Working knowledge of Eaglesoft Dental Software.
• Working knowledge of Current Dental Terminology (CDT) codes.
• Working knowledge of mail processes such as postage machine, FedEx and UPS.
• Working knowledge of Carecredit process.
• Working knowledge of credit card processing.
• Working mathematical knowledge as required to balance accounts, addition, subtraction, multiplication, division, etc.
• Working knowledge of how to correctly explain office policies, procedures, treatment philosophy, insurance guidelines, insurance deductibles, insurance coverage books, insurance policy estimates and specifics of the insurance policies.
• Working knowledge of how to determine which insurance policy is primary and which is secondary insurance.
• Working knowledge of how to contact insurance companies in an efficient manner and obtain all of the needed information from the representative spoken with.
• Knowledge of third-party billing requirements.
• Preferred Education and Experience
• Experience in a fast-paced environment.
• Experience with exceptional customer service.
• Experience in staying calm and being able to explain dental and office procedures in a friendly and helpful manner.
• Experience in computer use.