Billing and Insurance Coordinator

Children's Dental Health - West Chester, PA (30+ days ago)3.0


We currently have a full-time career opportunity available for a Billing and Insurance Coordinator in our Children's Dental Management corporate office! As a Billing and Insurance Coordinator, you will perform duties for Commercial and Managed Care accounts. You will be responsible for following up on claims from billing through final resolution, including accurate and timely follow-up of unpaid claims, by assigned payer/s and defined aging criteria to meet or exceed collection targets and minimize write-offs.

We are a rapidly growing company that is pleased to offer a competitive salary and strong benefits package, which includes:

Company contributions towards medical insurance coverage
No-cost employer paid dental insurance for all employees
401k
Generous paid time off (PTO) policy
Company paid holidays
Employer-paid Group Term Life Insurance, Short-Term Disability, and Long-Term Disability Insurance

Other responsibilities include:
Identifying and correcting billing errors and resubmitting claims to insurance carriers
Process patient refunds in a timely manner
Enter, post and reconciles payments to accounts
Providing review and remittance advice for payment errors, denials, and under payments
Research and resolve customer A/R issues and inquiries
Research claim denials to determine reasons for denials correcting and reprocessing claims for payment in a timely manner
Know the insurance companies we do and do not participate with and what offices patients can and cannot be seen at
Understand restrictions and dental policies at different insurance companies to explain to patients
Understand how to explain what insurances cover to parents
Acting cooperatively and courteously with patients, co-workers, and management
Learn and understand payer contract terms
Review aging reports
Send out monthly statements
Place billing and collection calls
Initiate appeals when necessary; follow-up on appeals recognizing the payer defined aging criteria
Other duties as assigned
Job Requirements *

High School Graduate/GED required
Technical School/2 Years College/Associates Degree preferred
Dental or medical billing/collections/insurance terminology preferred
Knowledge of basic accounts receivable and accounting principles
Understanding of the revenue cycle and how the various components work together preferred
Computer literacy skills including proficiency in Microsoft Excel and Word
Ability to recognize roadblocks that may be causing slower reimbursement and work with management team to create solutions
Service-oriented/customer-centric
Excellent written/verbal communication skills