Billing and Insurance Coordinator

US-PA-West Chester
# of Openings
2
Category
Administrative/Clerical

Overview

  • CDHA Management currently has a full-time opportunity available in our West Chester location for a full-time Billing and Insurance Coordinator, to join our growing dental practice.  As a Billing and Insurance Coordinator, you will perform duties as an Accounts Receivable Representative for Commercial and Managed Care accounts. You will be responsible for following up on claims from billing through final resolution, including accurate and timely follow-up of unpaid claims, by assigned payer/s and defined aging criteria to meet or exceed collection targets and minimize write-offs.

We are pleased to offer a competitive salary and strong benefits package, which includes:

  • Company contributions towards medical insurance coverage
  • No-cost employer paid dental insurance for all employees
  • 401k
  • Generous paid time off (PTO) policy
  • Company paid holidays
  • Employer-paid Group Term Life Insurance, Short-Term Disability, and Long-Term Disability Insurance

Responsibilities

  • Identifying and correcting billing errors and resubmitting claims to insurance carriers
  • Process patient refunds in a timely manner
  • Enter, post and reconciles payments to accounts
  • Providing review and remittance advice for payment errors, denials, and under payments
  • Research and resolve customer A/R issues and inquiries
  • Research claim denials to determine reasons for denials correcting and reprocessing claims for payment in a timely manner
  • Know the insurance companies we do and do not participate with and what offices patients can and cannot be seen at
  • Understand restrictions and dental policies at different insurance companies to explain to patients
  • Understand how to explain what insurances cover to parents
  • Acting cooperatively and courteously with patients, co-workers, and management
  • Learn and understand payer contract terms
  • Review aging reports
  • Send out monthly statements
  • Place billing and collection calls
  • Initiate appeals when necessary; follow-up on appeals recognizing the payer defined aging criteria
  • Exercise good judgment in escalating identified denial trends or root cause of denials to mitigate future denials, expedite the reprocessing of claims and maximize opportunities to enhance front end claim edits to facilitate first pass resolution
  • Identify uncollectible accounts and performs accurate and timely write-offs (e.g. no authorization) adhering to company policy guidelines
  • Demonstrate the ability to be an effective team player
  • Upholds "best practices" in day-to-day processes and work flow standardization to drive maximum efficiencies across the team
  • Check for eligibility and breakdowns on multiple insurance websites
  • Call insurance companies to check for eligibility and breakdowns

Qualifications

Education:

High School Graduate/GED required

Technical School/2 Years College/Associates Degree preferred

 

Knowledge

    • Knowledge of basic accounts receivable and accounting principles
    • Healthcare (professional) billing, government, managed care and commercial insurances, claim submission requirements, reimbursement guidelines, and denial reason codes. Understanding of the revenue cycle and how the various components work together preferred
  • Dental billing/collections/insurance terminology preferred 

 

Skills & Experience:

  • Strong organizational skills and attention to detail
  • Results oriented with a proven track record of accomplishing tasks
  • Excellent problem-solving skills and the ability to handle multiple tasks simultaneously
  • Ability to work independently and prioritize responsibilities daily in order to complete all assignments timely and accurately.
  • Computer literacy skills including proficiency in Microsoft Excel and Word
  • Ability to recognize roadblocks that may be causing slower reimbursement and work with management team to create solutions
  • Service-oriented/customer-centric
  • Excellent written/verbal communication skills

 

Work Experience:

  • 1+ years of dental office or medical billing and collections experience preferred

 

Other:

  • Ability to successfully pass pre-employment background checks and screenings

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