Insurance Coordinator

Description

PURPOSE OF THE JOB:

The Insurance Coordinator is responsible for assisting patients with the processing of dental insurance claims and managing relationships with insurance carriers. This role involves contacting insurance companies and patients regarding coverage determinations and outstanding balances, researching and resolving insurance billing issues, setting up financial arrangements, and collecting payments from patients and insurance companies. Additionally, the Insurance Coordinator manages outstanding insurance claims and works with the Practice Manager to ensure the dental team complies with established collection procedures, maintaining the integrity of daily deposits.


RESPONSIBILITIES:

• Verify patients' health insurance benefits and ensure accurate documentation.
• Provide clear and detailed explanations of insurance benefits to patients.
• Enter and update patient data using dental practice management software with precision.
• Generate comprehensive reports for all insurance-related activities.
• Post payments made by patients and ensure accurate account reconciliation.
• Follow up diligently on non-paid insurance claims to ensure timely resolution.
• Manage late payments and overdue accounts, implementing effective collection strategies.
• Process insurance payments and refunds efficiently and accurately.
• Upload completed insurance verification forms and maintain organized records.
• Monitor weekly, monthly, and quarterly reports to confirm payments from clients and insurance companies.
• Coordinate with insurance carriers to resolve billing discrepancies and issues.
• Assist patients with understanding their financial responsibilities and setting up payment plans if necessary.
• Collaborate with the Practice Office Manager to ensure compliance with established collection procedures.
• Stay updated with changes in insurance policies and regulations to provide accurate information to patients and the dental team.
• Provide exceptional customer service by addressing patient inquiries and concerns promptly and professionally.
• Support the dental team with administrative tasks as needed to ensure smooth operations.

Requirements

MINIMUM REQUIREMENTS:

• High school degree, GED, or related qualification.
• Minimum of two (2) years of experience in a dental office environment.
• Knowledge of dental procedures and insurance billing codes.
• Excellent communication skills.
• Proficiency in data entry, attention to detail.
• Experience with dental practice management software.
• Microsoft Office experience (MS Word, Excel, Outlook).

NICE TO HAVES:

• Familiarity with dental software and scheduling systems.
• Additional certifications or training in insurance coordination.