Insurance Reconciliation Specialist-Dentistry Business Office

Market Range: 05

Hiring Salary: $19.10/Hourly

JOB SUMMARY/ESSENTIAL FUNCTIONS: The Insurance Reconciliation Specialist maintains the integrity of the insurance payment transactions to ensure maximum efficiency and accuracy of insurance receivable balances. This position inputs payments, adjusts data into patient accounts, and processes electronic remittances.   

DUTIES AND RESPONSIBILITIES:

1. Receives hard copy and electronic insurance payments.
2. Posts and allocates payments to patient accounts with accuracy according to EOB.
3. Locates missing/outstanding insurance payments and ensures appropriate resolution; requests payment tracers from insurance companies.
4. Manages electronic remittance advice and insurance correspondence timely.
5. Acts as the primary point of contact for the Bursar's Office to identify payment activities for the School of Dentistry.
6. Audits credit balances and initiates requests for refunds and insurance companies with required documentation.
7. Researches and resolves aged insurance balances on an ongoing basis.
8. Maintains industry expertise in CDT coding and compliance as well as insurance regulations and billing procedures.
9. Performs other duties as assigned.

MINIMUM REQUIREMENTS:

EDUCATION: High School Diploma or GED. (TRANSCRIPT REQUIRED)

 EXPERIENCE: Three (3) years of cash application management and/or dental insurance claims management in a dental setting; OR Associate's Degree and one (1) year of cash applications management and/or dental insurance claims management in a dental setting; OR a combination of education and work experience to equal eight (8) years.

KNOWLEDGE, SKILLS, ABILITIES: 

• Knowledge of public and private dental insurance billing policies.
• Expert knowledge of dental terminology and CDT coding.
• Knowledge of accounts receivable and collections processes.
• Ability to manage multiple job priorities and tasks efficiently, effectively, and accurately while demonstrating close attention to detail.
• Ability to communicate professionally and courteously with faculty, residents, students, patients, and staff.
• Ability to identify, research, and/or resolve financial conflicts with insurance companies and patient accounts.
• Ability to support and contribute to a positive and productive team environment.