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Insurance Coordinator

InsuranceInsuranceFull TimeRemoteMid LevelTeam 501-1,000

Location

United States

Posted

16 days ago

Salary

$27 - $33 / year

Seniority

Mid Level

No structured requirement data.

Job Description

Insurance Coordinator

Tufts University

Role Description Under limited supervision, the Insurance Coordinator: - Checks patient insurance eligibility, benefits, limitations and coverage. - Obtains and tracks prior authorizations and follows up with insurances, patients and internal teams. - Documents/updates accounts regarding coverage guidelines and limitations. - Answers eligibility and benefit coverage inquiries. - Ensures patients understand, consent and are compliantly notified, having signed and consented to treatment costs and notified regarding estimated financial responsibilities, such as deductibles, co-pays, co-insurance amounts and 100% financial responsibility for non-covered costs. - Communicates with healthcare providers and insurances to ensure required standards and applicable laws are followed, upheld and compliantly met. - Makes recommendations for resolutions and notifies/informs if/when laws and or standards are updated or changed. - This position's role and responsibilities are deadline driven; requires accuracy and attention to detail. - Plays an essential and key role in the Dental School's revenue cycle management, with a direct impact on the clinic's financial and billing outcomes success. - Acts as a back-up to the billing team, assisting with answering phone calls. - Performs billing administrative tasks and other billing related duties, assisting in timely and accurate revenue cycle management outcomes. Qualifications - High School degree/GED. - 2 - 3 years of insurance benefits, eligibility and coverage experience. - Must be customer service focused (internal and external), with excellent communication, attention to detail, organizational and interpersonal skills. - Knowledge of dental/medical insurances, insurance processes, billing/healthcare compliance and insurance guidelines, rules, regulations and requirements. - Working knowledge of prior authorizations, insurance verification, including accurate and timely communication to internal team members and patients regarding eligibility, benefits and coverage. - Requires expert attention to detail and ability to effectively communicate technical information, aptitude and willingness to learn and drive change. - Certified Dental Coder (CDC) within 1 year. Requirements - Bachelor's Degree (preferred). - Experience coordinating benefits (preferred). - Knowledge of Medicare and commercial insurance regulations, guidelines and applicable federal/state healthcare laws (preferred). - Expert knowledge of axiUm software (preferred). - Working knowledge of third-party billing (preferred). - Certified Dental Coder (CDC) applicant with 4 - 6 years of medical/dental insurance verification or financial coordination experience in a fast-paced dental/medical healthcare setting (preferred). Benefits - Minimum $27.30, Midpoint $32.50, Maximum $37.70. - Salary is based on related experience, expertise, and internal equity; generally, new hires can expect pay between the minimum and midpoint of the range.

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