Dental Insurance Specialist

# Dental Insurance SpecialistDental Depot Telo LLC - Tulsa, OK 74135## Description| || --- || ***Position Summary*** || Perform all insurance verifications and pre-determinations/pre-authorizations. Understands and assists patients with third party billing systems. Reviews patient’s insurance breakdowns for accuracy. Understands and utilizes CDT codes. Works closely with administrative and clinical staff. Build positive relationships with patients by efficiently, effectively, and courteously communicating information. || ***Essential Functions*** || *To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.* || * Operate office equipment, such as voice mail messaging systems, and use word processing, label making software, copier, printer and scanner. * Communicates effectively, courteously, and professionally with patients, parents/legal guardians, and clinical and administrative staff. * Informs patient of their fiscal responsibilities with respect to their particular insurance coverage. * Interview patients to complete documents such as insurance forms. * Complete insurance verification forms. Contact patient regarding pre-authorization/pre-determination status. * Understands and utilizes CDT codes. * Position may be responsible for opening the office. * Treats patients, visitors and co-workers with respect and courtesy. * Proficiently uses conflict resolution and problem-solving techniques in managing interpersonal conflict and patient complaints. * Efficiently operates assigned computer software (i.e., Eaglesoft, and Microsoft Office Suite). * Prepares and delivers reports on time. * Ensures printed material and forms are up to date. Insurance verification forms are updated semi-annually. * Create and follow up with Medicaid pre-authorizations and traditional insurance pre-determinations. Contact patient for additional insurance information and/or additional documentation. * Communicate patient concerns to Dental Office Manager or Doctor. * Complies with: Dental Depot policies and procedures; OSHA policies, procedures, rules, and regulations, as well as HIPAA policies. * Schedule approved treatment. * Position may be required to relocate to other Dental Depot clinics either permanently or on a short-term basis due to office needs, on an as needed basis at the discretion of Management. * This position may complete other Administrative and Maintenance tasks as assigned by Management. * Maintain regular and reliable attendance |## Qualifications| | | | || --- | --- | --- | --- || ***Skills & Abilities*** | | | || | | | || ***Education:*** | High School Graduate or General Education Degree (GED): Required | | || || | | | || ***Experience:*** | No prior experience necessary. | | || || ***Certifications & Licenses:*** | None | | || || ***Computer Skills:*** | Efficiently operates assigned computer software and other equipment, including Eaglesoft and Microsoft Office Suite. | | || || | | | || ***Other Requirements:*** | Must have a valid driver's license, proof of valid vehicle insurance and must have annual Motor Vehicle Record Check, as a condition of employment if employee operates any Company owned vehicles or drives their own personal vehicle for Company business purposes. Must have knowledge of CDT Codes and pass the bi-annual Dental Depot CDT codes test. | | || || | | | || ***Position Qualifications*** | | | || * Communication, Written - Ability to communicate in writing clearly and concisely. * Ethical - Ability to demonstrate conduct conforming to a set of values and accepted standards. * Customer Oriented - Ability to take care of the customers’ needs while following company procedures. * Communication, Oral - Ability to communicate effectively with others using the spoken word. * Research Skills - Ability to design and conduct a systematic, objective, and critical investigation. * Organized - Possessing the trait of being organized or following a systematic method of performing a task. * Detail Oriented - Ability to pay attention to the minute details of a project or task. * Accuracy - Ability to perform work accurately and thoroughly. * Friendly - Ability to exhibit a cheerful demeanor toward others. * Honesty / Integrity - Ability to be truthful and be seen as credible in the workplace. * Safety Awareness - Ability to identify and correct conditions that affect employee safety. * Self-Motivated - Ability to be internally inspired to perform a task to the best of one’s ability using his or her own drive or initiative. * Time Management - Ability to utilize the available time to organize and complete work within given deadlines. * Energetic - Ability to work at a sustained pace and produce quality work. * Reliability - The trait of being dependable and trustworthy. * Working Under Pressure - Ability to complete assigned tasks under stressful situations. * Initiative - Ability to make decisions or take actions to solve a problem or reach a goal. * Responsible - Ability to be held accountable or answerable for one’s conduct. * Motivation - Ability to inspire oneself and others to reach a goal and/or perform to the best of their ability. * Patience - Ability to act calmly under stress and strain, and of not being hasty or impetuous. * Enthusiastic - Ability to bring energy to the performance of a task. * Empathetic - Ability to appreciate and be sensitive to the feelings of others. * Accountability - Ability to accept responsibility and account for his/her actions. | | | || | | | | || --- | --- | --- | --- | --- || ***Physical Demands*** | | | | || **N (Not Applicable)** | Activity is not applicable to this position. | | | || **O (Occasionally)** | Position requires this activity up to 33% of the time (0 - 2.5+ hrs/day) | | | || **F (Frequently)** | Position requires this activity from 33% - 66% of the time (2.5 - 5.5+ hrs/day) | | | || **C (Constantly)** | Position requires this activity more than 66% of the time (5.5+ hrs/day) | | | || | | | | || ***Physical Demands*** | | ***Lift/Carry*** | | || Stand | C | 10 lbs or less | F | || Walk | C | | | || Sit | C | | | || Manually Manipulate | C | | | || Reach Outward | C | ***Push/Pull*** | | || Reach Above Shoulder | F | 12 lbs or less | F | || Climb | O | | | || Crawl | O | | | || Squat or Kneel | O | | | || Bend | F | | | || Grasp | C | | | || Speak | C | | | || | | | | || | | | | || ***Other Physical Requirements*** | | | | || Vision (Near) | | | | || Ability to wear Personal Protective Equipment (PPE) - Such as safety glasses, surgical masks and protective gloves | | | | || | | | | || | | | | || ***Work Environment*** | | | | || While performing the duties of this job, the employee is occasionally exposed to toxic or caustic chemicals, body fluids, blood borne pathogens, and the risk of radiation. The noise level is usually moderate. As the dental practice is heavily dependent on scheduling, the general environment can become hectic at times. Therefore, the employee must be able to handle effectively the normal anxieties associated with the job. | | | | | #J-18808-Ljbffr