Dental Insurance Specialist

Dental Insurance Specialist

This position performs dental insurance services for the UNC Adams School of Dentistry. The Dental Insurance Specialist works in all areas of billing and reimbursement from private dental and medical insurance companies. This position requires specialized knowledge of the insurance industry standards relating to billing and reimbursement in order to perform position duties and a strong understanding of accounts receivable. This position works closely with private insurance carriers, particularly those contracting with the clinics. The position also requires an extensive and detailed understanding of dental and medical terminology, dental procedural and diagnostic coding, medical-dental cross-coding, electronic claims processing and of insurance policies and contracts for multiple insurance vendors.

The duties of this position include filing dental insurance claims and pre-treatment estimates for privately insured patients; obtaining and providing the clinical documentation necessary for claims processing, i.e. x-rays, chart notes and letters of necessity; investigating certain denied claims, following-up on those investigations and submitting claims appeals for those denied claims; scanning of such documentation in the electronic patient record as insurance cards, insurance explanation of payment, provider narratives and insurance consent and regularly auditing patient records for accuracy and completion of billing, coding, and clinical documentation. This position answers questions from patients and providers regarding dental insurance benefits, claim status and account summary, as well as assisting patients with in-house payment arrangements under the policies of the school advising patients of their options. This position requires HIPAA compliance.

Minimum Education and Experience Requirements - High school diploma or equivalency and one year of related office experience; or equivalent combination of training and experience.

Management Preferences - Prefer previous knowledge of and experience with financial control and accountability procedures and the ability to maintain accuracy when dealing with high volume of transactions; Certified Dental Coder status; detailed knowledge of the policies and procedures of the Dental Faculty Practice and Dental Student Clinics at both the graduate and undergraduate levels of the School of Dentistry as well as the policies and procedures of the Patient Business Services office; and excellent level of customer service under pressure.

Required Licenses/Certifications

Special Physical/Mental Requirements

Campus Security Authority Responsibilities - Not Applicable.

Position/Schedule Requirements

Special Instructions

Equal Opportunity Employer Statement - The University is an equal opportunity employer and welcomes all to apply without regard to age, color, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, or sexual orientation. We encourage all qualified applicants to apply, including protected veterans and individuals with disabilities.

University Of North Carolina At Chapel Hill