Dental Insurance and Grant Coordinator (Bi-lingual) Shady Grove Position Control IGC-25-850-01
SUMMARY:
Responsible for timely billing and collections for assigned clinics. Becomes highly proficient at insurance coding and interactions with various insurance providers. Performs biweekly claims filing. Authorizes payment plans for any unpaid balances on patient accounts.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
1. Completes claims coding and submission daily for assigned clinics.
2. Handles all insurance account correspondence for assigned clinic. May contact patients directly for past due balance, payment plans, or to collect coinsurance or private pay amounts.
3. Communicates with clinic on decisions by insurance carrier, such as medical necessity issues.
4. Follow up with insurance carriers on unpaid claims. Completes and files reconsideration requests to carriers with additional documentation or corrections.
5. Handles all aspects of grants, including verifying patient eligibility, coordinating care, submitting required documentation, and tracking fund utilization. The position also assists with process improvements and works closely with staff to ensure smooth program operations and compliance.
6. Will provide back-up for Business Manager and front desk duties.
Note: The intent of this list of primary duties is to provide a representative summary of the major duties and responsibilities of this job. Incumbents perform other related duties assigned. Specific duties and responsibilities may vary based upon departmental needs.
EDUCATION and/or EXPERIENCE:
High school diploma or general education degree (GED); 3 years’ related billing experience, preferably in a dental office setting. Related education may be substituted for experience on a year-for-year basis.
Required Knowledge / Skills / Abilities:
Ability to independently perform specialized tasks. Skill in applying basic analytical skills to problems where clear precedent may not exist. Skill in organizing and executing multiple assignments under specific time constraints. Ability to communicate effectively orally and in writing. Ability to handle sensitive and confidential matters with discretion and tact.
ADDITIONAL CONDITIONS OF EMPLOYMENT:
Overtime, weekends, on-call, and shift work may be required.
This job description is designed to give an outline of what job duties are expected of this position. As an outline, it does not fully describe or limit the extent of the position’s duties. The Corporation and its supervisors may amend the job description as it deems necessary, without advance notice. The job description is not intended to create an employment contract and should not be construed as such.