Clinical Financial Counselor

University of Florida; Gainesville (FL); On-site; USD 42,000 - 46,000; Full time

Benefits offered by this job

Low-cost Health plans

Dental plans

Vision plans

Vacation and leave

Job summary

University of Florida in Gainesville is seeking a Clinical Financial Counselor to provide financial counseling for patients undergoing dental and oral surgery procedures. The position supports pre-certifications, scheduling, and billing within the Oral Surgery department.

The role involves coordinating care with UF Health Shands, verifying insurance, and ensuring accurate billing. Strong customer service and communication skills are essential for success in this on-site position at UF’s main

Qualifications

• High school diploma or equivalent and one year of related experience and/or training, including customer service.
• Familiarity with medical/dental insurance and billing processes.
• Strong communication and customer service skills.

Responsibilities

• Coordinate OR surgeries and pre-certifications with UF Health Shands.
• Schedule history/physical, pre-orthognathic workups, and anesthesia appointments.
• Verify insurance coverage and determine service eligibility.
• Enter treatment plans and charges into the billing system.
• Communicate with insurance companies for authorizations.
• Assist with posting and reviewing benefits and claims.

Skills

Customer service

Communication

Organizational skills

Education

High school diploma

Tools

Epic scheduling

Job description

Clinical Financial Counselor

Job No: 541223

Work Type: Full Time

Location: Main Campus (Gainesville, FL)

Categories: Office/Administrative/Fiscal Support, Veteran's Preference Eligible, Dentistry, Health Care Administration/Support

Department: 34080100 - DN-ORAL SURGERY

Job Description

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)

Health Assessment Required:Yes

Our Commitment

The University of Florida is an Equal Employment Opportunity Employer.

Hiring is contingent on eligibility to work in the U.S. The University of Florida is a public institution and is subject to all requirements under Florida Sunshine and Public Record laws. If an accommodation due to a disability is needed to apply for this position, please call 352-392-2477 or the Florida Relay System at 800-955-8771 (TDD) or visit Accessibility at UF.