Dental Insurance Coordinator

ProSmile Holdings, LLC; Lakewood Township (NJ); On-site; USD 42,000 - 62,000; Full time

Job summary

ProSmile Holdings, LLC is seeking a Dental Insurance Coordinator in Lakewood, NJ to manage insurance accounts receivable, verify coverage, and process claims and collections. This full-time role requires attention to detail and familiarity with dental terminology and billing practices.

You will work with offices, insurance companies, and providers to obtain missing information, input fee schedules, and ensure timely filing and accurate patient billing.

Qualifications

• Minimum 2–4 years of healthcare insurance and billing experience, preferably in a dental group.
• Working knowledge of dental terminology and dental-related insurance practices.
• Proficiency in Microsoft Office and ability to use practice management systems.
• Strong communication and organizational skills.

Responsibilities

• Process insurance claims by preparing forms, reviewing for completeness, and transmitting for payment.
• Verify patient demographics, dates of service, and payments; track overdue accounts.
• Contact offices and insurance companies to obtain missing information and resolve denials.
• Input and update fee schedules and insurance plan rules in the practice management system.

Skills

Financial data analysis

Policy adherence

Problem solving

Time management

Dependability

Interpersonal communication

Tools

Microsoft Office

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Dental Insurance Coordinator

FullTime Lakewood, NJ, US

30+ days ago Requisition ID: 3179

POSITION SUMMARY:

The Insurance Collections Coordinator is responsible for reviewing the insurance accounts receivable report and reviewing in detail what treatment and service dates are outstanding.

ESSENTIAL FUNCTIONS:

Process Insurance Claims:

• Prepare insurance claim forms or related documents and review them for completeness.
• Post or attach information to claim file.
• Transmit claims for payment or further investigation.
• Organize or work with detailed reports and records, using computers to enter, access, search or retrieve data.
• Close out claims or resubmit as necessary, and process in a timely manner and meeting filing deadlines and limits.

Process Collections:

• Verify insurance accounts in patient's history, including demographic information.
• Verify dates of service and payments received.
• Review and verify overdue accounts and track treatment and service dates that are outstanding.
• Contact offices, insurance companies, and providers to obtain missing insurance information and follow up on outstanding insurance claims.
• Create, update and input insurance fee schedules into practice management system.
• Create, update and input insurance plan rules into practice management system.
• Contact insurance companies annually or as needed to ensure fee schedules are up to date.
• Process and input patient insurance breakdowns into system.
• Answer any insurance related questions to patients, offices, or departments.

Dental Insurance Coordinator COMPETENCIES:

• Ability to analyze and interpret financial and insurance data.
• Ability to work follow policies and procedures accurately.
• Ability to analyze and solve problems while exercising a moderate degree of judgment.
• Ability to juggle competing demands and priorities and manage time well (both self and others) even when time is short.
• Dependability and outstanding organizational ability, including managing both paper and digital files, with focused attention to detail and follow through.
• Excellent interpersonal skills, including the ability to communicate clearly both verbally and in writing, and maintain a customer-oriented attitude during all interactions, including phone and in person.
• Must be proficient in Microsoft Office and must have experience using websites or software applications to find, review, edit, and submit insurance claims.

REQUIRED AND PREFERRED QUALIFICATIONS:

• Required Experience: 2-4 years of healthcare insurance and billing experience, preferably in a dental group.
• Required Knowledge: A working knowledge of dental terminology and dental-related insurance practices and procedures.

SCHEDULING REQUIREMENTS

• Requires some flexibility in scheduling, such as the ability to work evenings and weekends.