Insurance Coordinator

ADP, Inc.; Plainfield (NJ); On-site; USD 42,000 - 54,000; Full time

Job summary

Automatic Data Processing, Inc. seeks an Insurance Coordinator in Plainfield, NJ to manage accounts receivable, review claim dates, and ensure timely processing. You will handle claim transmission, data entry, and follow-up with insurers and offices to obtain missing information.

The role emphasizes accuracy in claims and collections, working within a dental practice setting. Requires 2–4 years of healthcare insurance experience and strong communication and organizational skills.

Qualifications

• 2–4 years of healthcare insurance and billing experience.
• Working knowledge of dental terminology and dental insurance practices.

Responsibilities

• Process insurance claim forms and attach documents.
• Transmit claims for payment and review for completeness.
• Enter and manage data in practice management systems.
• Verify patient demographics, dates of service, and payments.
• Communicate with offices and insurers to obtain missing information.
• Input insurance fee schedules and plan rules into the system.
• Address patients' insurance questions.

Skills

Analytical thinking

Attention to detail

Communication skills

Tools

Microsoft Office

Practice management system

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.

Insurance Coordinator

FullTime Plainfield, NJ, US

30+ days ago Requisition ID: 3212

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.