Clinical Financial Counselor

Clinical Financial CounselorThe University of Florida College of Dentistry is accepting applications for a Clinical Financial Counselor. This position is assigned to the Department of Oral and Maxillofacial Surgery to provide financial counseling to patients for both clinical and operating room procedures, pre-certify and schedule all OR surgeries.Scheduling/Coordination of CareArranges the coordination of care with associated services at UF Health Shands, including the scheduling and pre-certification of all OR surgeries.Responsible for scheduling history and physical, pre-orthognathic workup appointments, diagnostic testing (MRI, CT scan, etc.) for both clinical and hospital grade requests.Responsible for posting OR cases on the SNAP board.Responsible for updating the faculty Outlook calendars with OR cases.Financial CounselorInterview and counsel patients who will or have been treated in Oral and Maxillofacial Surgery and Center for Implant Dentistry to determine financial status and/or insurance coverage.Verify insurance coverage for each patient and determine if services to be provided are covered and/or non-covered according to individual insurance policies.Verify account information in our computer system to ensure accuracy and update accounts as necessary.Print proposal treatment plans for patients, knowledge of electronic billing, and print dental claim forms.Responsible for entering treatment plans and charges into the system.Communicate with various insurance companies to obtain all inpatient and outpatient surgery authorization approvals.Works with Medicaid Portals for direct billing of all Medicaid dental or medical billing for the department.Determines patients who are covered by HMO, PPO, or Worker's Compensation.Insure that each HMO, PPO or Worker's Compensation visit is pre-certified.Verifies patient's insurance information on Availity, MMA Medicaid plans, and commercial plans.Determines deductible, co-payment and extent of coverage.Notifies patients of any deductibles due and/or any co-payment not covered by their policy.Notifies students, residents, and faculty of services which are authorized and monitors treatment plan to ensure that all procedures are performed according to agency guidelines.Notifies students, residents and faculty of the amount of payment to be collected from the patient prior to treatment being provided.Gather and verify copies of the patient's insurance card and completes all forms required by third party payers.Inputs insurance information into the computer system to ensure correct billing for treatment provided.Create medical record number for dental patient in the UF Health Shands Epic scheduling network system.Responsible for emailing residents the CPT codes, DX codes, and surgery dates to enter an Epic encounter to create the OR case.Answering OMFS Financial Office Phone lines. Assisting caller with financial questions regarding their accounts with both the oral surgery resident clinic and implant center (as needed).Assist with department insurance explanation of benefits review for posting accuracy, providing requested information timely and efficiently, claims filing in Inovalon, submitting adjustment and refund requests, as needed.Expected Salary: $20.00 - $22.00 per hour; commensurate with education and experienceBenefits: The University of Florida offers low-cost State Health plans, a number of Dental plans to fit you and your family's needs, and Vision. Domestic partner coverage through GatorCare is also available. Optional plans such as life, disability, legal and accident insurance are also available. Build your retirement roadmap with competitive pension plans, investment accounts and a host of voluntary add-ons, such as 457 deferred compensation and 403(b) plans. UF provides a variety of leave programs including vacation, sick leave, 11 paid holidays, personal leave days, and family medical leave. TEAMS employees accrue approximately 22 vacation days annually, 13 sick days annually, and 4 personal leave days, typically used during the holiday closing period (accruals based on full-time employment). UF also provides you the flexibility to deal with life's challenges by offering paid family leave, eight full weeks of leave over a 24-month period. UF Employees are also eligible for the GatorPerks discount program, which provides big savings at various businesses and retailers!Required Qualifications: High school diploma or equivalent and one year of related experience and/or training, including customer service; or an equivalent combination of education and experience.Preferred: Knowledge of general office procedures and practices Working knowledge of basic math Able to plan, organize and coordinate work activities Able to follow instructions, written and verbal Able to communicate effectively Able to establish and maintain effective working relationships with others Able to review data for accuracy and completeness Knowledge of dental and medical terminology (basic terms at least)