Clinical Financial Counselor

UF ECE Ambassadors; Gainesville (FL); On-site; USD 28,000 - 30,000; Full time

Benefits offered by this job

Health plans

Dental plans

Vision

GatorCare

Pension plans

Vacation time

Job summary

The University of Florida College of Dentistry is seeking a Clinical Financial Counselor to support the Department of Oral and Maxillofacial Surgery. The role focuses on financial counseling, pre-certifications, and scheduling all OR procedures, ensuring accurate billing and collaboration with insurance providers.

Responsibilities include coordinating care, verifying coverage, posting OR cases, and updating calendars.

Qualifications

• High school diploma or equivalent and one year of related experience and/or training, including customer service; or an equivalent combination of education and experience.

Responsibilities

• Coordinate care and schedule OR surgeries, including pre-certification and scheduling.
• Verify insurance coverage and determine if services are covered under policies.
• Enter treatment plans and charges into the Epic system and communicate CPT/DX codes for OR cases.
• Assist with department insurance explanations of benefits, claims filing, and adjustments.

Skills

Customer service

Communication

Organization

Detail oriented

Education

High school diploma or equivalent

Job description

Classification Minimum Requirements

High school diploma or equivalent and one year of related experience and/or training, including customer service; or an equivalent combination of education and experience.

Classification Title

Clinical Financial Counselor

Classification Minimum Requirements

High school diploma or equivalent and one year of related experience and/or training, including customer service; or an equivalent combination of education and experience.

Job Description

The University of Florida College of Dentistry is accepting applications for a Clinical Financial Counselor. This position is assigned to the Department of Oral and Maxillofacial Surgery to provide financial counseling to patients for both clinical and operating room procedures, pre-certify and schedule all OR surgeries.

Scheduling/Coordination of Care

• Arranges the coordination of care with associated services at UF Health Shands, including the scheduling and pre-certification of all OR surgeries. This will include, but is not be limited to coordinating scheduling history and physical, pre-orthognathic work-up, and pre-surgical anesthesia appointments.
• Responsible for scheduling history and physical, pre-orthognathic workup appointments, diagnostic testing (MRI, CT scan, etc.) for both clinical and hospital grade requests.
• Responsible for posting OR cases on the SNAP board.
• Responsible for updating the faculty Outlook calendars with OR cases.

Financial Counselor

• Interview and counsel patients who will or have been treated in Oral and Maxillofacial Surgery and Center for Implant Dentistry to determine financial status and/or insurance coverage.
• Verify insurance coverage for each patient and determine if services to be provided are covered and/or non-covered according to individual insurance policies.
• Verify account information in our computer system to ensure accuracy and update accounts as necessary.
• Print proposal treatment plans for patients, knowledge of electronic billing, and print dental claim forms.
• Responsible for entering treatment plans and charges into the system.
• Responsible for communicating with various insurance companies to obtain all inpatient and outpatient surgery authorization approvals.
• Works with Medicaid Portals for direct billing of all Medicaid dental or medical billing for the department.
• Determines patients who are covered by HMO, PPO, or Worker’s Compensation.
• The incumbent will insure that each HMO, PPO or Worker’s Compensation visit is pre-certified.
• Verifies patient’s insurance information on Availity, MMA Medicaid plans, and commercial plans.
• Determines deductible, co-payment and extent of coverage.
• Notifies patients of any deductibles due and/or any co-payment not covered by their policy.
• Notifies students, residents, and faculty of services which are authorized and monitors treatment plan to ensure that all procedures are performed according to agency guidelines.
• Notifies students, residents and faculty of the amount of payment to be collected from the patient prior to treatment being provided.
• Gather and verify copies of the patient’s insurance card and completes all forms required by third party payers.
• Inputs insurance information into the computer system to ensure correct billing for treatment provided.
• Create medical record number for dental patient in the UF Health Shands Epic scheduling network system.
• Responsible for emailing residents the CPT codes, DX codes, and surgery dates to enter an Epic encounter to create the OR case.

Answering OMFS Financial Office Phone lines. Assisting caller with financial questions regarding their accounts with both the oral surgery resident clinic and implant center (as needed).

Assist with department insurance explanation of benefits review for posting accuracy, providing requested information timely and efficiently, claims filing in Inovalon, submitting adjustment and refund requests, as needed

Other duties as assigned.

Expected Salary

$20.00 - $22.00 per hour; commensurate with education and experience

Benefits

The University of Florida offers low-cost State Health plans, a number of Dental plans to fit you and your family’s needs, and Vision. Domestic partner coverage through GatorCare is also available. Optional plans such as life, disability, legal and accident insurance are also available.

Build your retirement roadmap with competitive pension plans, investment accounts and a host of voluntary add-ons, such as 457 deferred compensation and 403(b) plans.

UF provides a variety of leave programs including vacation, sick leave, 11 paid holidays, personal leave days, and family medical leave. TEAMS employees accrue approximately 22 vacation days annually, 13 sick days annually, and 4 personal leave days, typically used during the holiday closing period (accruals based on full-time employment). UF also provides you the flexibility to deal with life’s challenges by offering paid family leave, eight full weeks of leave over a 24-month period.

UF Employees are also eligible for the GatorPerks discount program, which provides big savings at various businesses and retailers!

Explore UF’s plethora of benefit options here: TEAMS Benefits

Required Qualifications

High school diploma or equivalent and one year of related experience and/or training, including customer service; or an equivalent combination of education and experience.

Preferred

• Knowledge of general office procedures and practices
• Working knowledge of basic math
• Able to plan, organize and coordinate work activities
• Able to follow instructions, written and verbal
• Able to communicate effectively
• Able to establish and maintain effective working relationships with others
• Able to review data for accuracy and completeness
• Knowledge of dental and medical terminology (basic terms at least)

Special Instructions To Applicants

In order to be considered, you must upload your cover letter, resume and a list of three references.

This position is eligible for veteran’s preference. If you are claiming veteran’s preference, please upload a copy of your DD 214 Member Copy 4 with your application for consideration. See our Veteran's Preference Page for more specific information.

Application must be submitted by 11:55 p.m. (ET) of the posting end date. This requisition has been reposted. Previous applicants are still under consideration and need not apply.

Health Assessment Required: Yes