Dental Claims Specialist

Ohio State University; North Carolina; On-site; USD 38,000 - 50,000; Full time

Job summary

The Ohio State University College of Dentistry is seeking a Dental Claims Specialist to join the Patient Revenue Cycle team at Postle Hall. The role handles dental and medical billing, predeterminations, and coordination with doctors, patients, and payers to ensure timely payments.

Requirements include a high school diploma or GED, at least 2 years in a healthcare cash-posting environment, strong computer skills, accuracy with a 10-key calculator, and excellent verbal, written, and interpersonal

Qualifications

• High school diploma or GED is required.
• Minimum 2 years' experience in a healthcare cash-posting environment.
• Proficiency with computers and related software.
• Efficiency with a 10 key calculator.
• Excellent interpersonal, verbal and written communication skills.

Responsibilities

• Performs insurance predeterminations of benefits, validate insurance coverage and preauthorizations (medical and dental).
• Discuss with patients treatment plans and payment arrangements.
• Enters dental and medical coding.
• Possesses ability to bill medical/dental carriers, appeal claims, and collection functions.
• Serves as liaison between doctors, patients and payers.

Skills

Interpersonal skills

Verbal communication

Written communication

Computer literacy

Education

High school diploma/GED

Tools

10-key calculator

Job description

Job Title

Dental Claims Specialist

Department

Dentistry | Dental Faculty Practice

The Ohio State University College of Dentistry is seeking a Patient Revenue Cycle Senior Coordinator for its affiliated Ohio State Dental Faculty Practice (DFP). When our faculty is not teaching the next generation of dentists or hygienists, our faculty dentists and faculty hygienists provide expert care for children and adults through DFP. Our dentists provide virtually every area of dental care available.

Serves as Treatment Coordinator/Dental/Medical Billing Specialist for the Ohio State Dental Faculty Practice within the College of Dentistry.

Duties Include

• Performs insurance predeterminations of benefits, validate insurance coverage and preauthorizations (medical and dental)
• Discuss with patients treatment plans and payment arrangements
• Enters dental and medical coding
• Possesses ability to bill medical/dental carriers, appeal claims, and collection functions
• Serves as liaison between doctors, patients and payers.

Schedule

Monday-Friday 7:30am-4:30pm On-site

Compensation

$18.37 - $23.99 depending upon education and relevant work experience.

Position Requirements

This position requires successful completion of a criminal background check and drug and alcohol screening.

Work is performed primarily in an office environment and the employee in this class is subject to inside environmental conditions. This position requires sustained periods using a keyboard and performing other computer work. Requires sufficient personal mobility and physical reflexes, which permits the employee to function in a general office environment to accomplish tasks.

Required :

• High school diploma/GED.
• Minimum 2 years' experience in a healthcare cash-posting environment. Proficiency with computers and related software.
• Efficiency with 10 key calculator.
• Excellent interpersonal, verbal and written communication skills.

Desired :

• Experience with commercial and government insurance.
• Knowledge of dental billing practices and procedures
• Skill in operating personal computer and related medical billing software
• Ability to deal with problems involving insurance
• Ability to maintain accurate records
• Cooperate with co-workers
• Knowledge of customer service skills and the ability to apply in various situations
• Ability to answer routine inquires and resolve complaints from patients, third party payers and doctors.
• 4 to 6 years' experience in a dental billing environment.

Additional Information:

• Location: Postle Hall (0024)
• Position Type: RegularScheduled Hours: 40
• Shift: First Shift

Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.

The university is an equal opportunity employer, including veterans and disability.