Company Overview
East Atlanta Surgery Center is a specialized oral surgery practice operated by Dr. Tarver, focusing on a comprehensive range of oral surgical procedures. The practice conducts surgeries Monday through Fridays providing high-quality care in a focused and professional environment,
About the Position:
We are seeking an experienced, detail-oriented Dental Insurance Coordinator to join our oral surgery practice. The ideal candidate will have strong experience with dental insurance billing, insurance verification, claims follow-up, pre-authorizations, post-authorizations, patient balances, and accounts receivable (A/R).
Experience working specifically in an oral surgery or specialty dental office is highly preferred. This position requires someone who understands the complexity of oral surgery billing and is comfortable working with both Georgia CMO plans and PPO dental insurance plans.
The right candidate will be proactive, organized, persistent with insurance follow-up, and able to independently manage the practice's insurance A/R.
Key Responsibilities
- Verify patient dental and medical insurance benefits and eligibility.
- Have a strong understanding of Georgia CMO plans and PPO dental plans.
- Obtain and submit pre-authorizationswhen appropriate.
- Submit and track claims accurately and in a timely manner.
- Follow up with insurance companies on outstanding and unpaid claims.
- Review and work insurance A/R to ensure claims are being processed and paid appropriately.
- Maintain consistent follow-up on outstanding claims and balances.
- Manage the practice's 30-, 60-, and 90+ day A/R, ensuring accounts are being worked and followed up on appropriately.
- Identify denied, delayed, underpaid, and rejected claims and take appropriate action.
- Submit corrected claims, appeals, and additional documentation when necessary.
- Process and follow up on post-authorizations and supporting documentation.
- Review EOBs/ERAs and ensure insurance payments are posted and reconciled accurately.
- Identify discrepancies between expected and actual insurance payments.
- Follow up on patient balances and assist with patient collections.
- Communicate professionally with insurance companies, patients, and the clinical/front-office team.
- Maintain accurate insurance and patient account information.
- Help keep the practice's A/R clean, current, and moving toward timely resolution.
- Stay organized and maintain documentation of insurance follow-up and outstanding issues.
- Work closely with the doctor and practice manager to resolve billing and insurance issues.
Pay: $22.00 - $27.00 per hour
Benefits:
- 401(k) matching
- Dental insurance
Work Location: In person
