Data Entry Insurance Processor Jobs in Akron, OH

Description

SUMMARY: Coordinates dental clinic appointments; provides reception services for patients; maintains patient charts; assists the Director of Advanced Dentistry in business performance; and represents the clinic in all patient interactions. 

SUPERVISOR: Director of Advanced Dentistry

DUTIES AND RESPONSIBILITIES:

• Provides exemplary customer service.  
• Answers incoming calls, schedules appointments, transfers calls to appropriate department, completes a virtual "Telephone Encounter" in current operating system and assigns to appropriate staff. 
• Schedules patients accordingly in the current operating system. Consults with designated staff persons regarding walk-in patients. 
• Checks patients in and out in a timely manner. 
• Completes patient registration, including accurate data entry, insurance verification and/or assigning in-house Sliding Fee Scale, scanning all appropriate documents. 
• Collection of co-payments at time of service, understanding of payment arrangement policy and able to assign accordingly, daily reconciliation of funds collected. 
• Assists consumers in obtaining access to a single and streamlined application process (Federal portal) that will enable them to determine if they, or a family member, are eligible for enrollment under Medicaid or CHIP or if they are eligible for financial assistance for a qualified health plan offered through the Marketplace and, if so, facilitates the enrollment. 
• Provides information and assistance in a fair, accurate, and impartial manner that is culturally and linguistically appropriate to diverse communities and accessible to individuals with disabilities.
• Handle all administrative and clinical paperwork as assigned by supervisor.
• Occasional travel as needed.

Requirements

MINIMUM QUALIFICATIONS:  

Education, training and / or experience that demonstrate possession of the knowledge, skills and abilities stated above. Required experience and education:

• High School diploma required. Bachelor's degree in a human service field or equivalent experience preferred. 
• One to three years of experience working with underserved and vulnerable populations preferred. 
• Able to use multi-line telephone system. 
• Knowledge and demonstration of eligibility and enrollment requirements; knowledge of qualified health plan options. 
• Knowledge of HIPAA policy to assure patient privacy.

LICENSES OR CERTIFICATIONS REQUIRED:

• None

COMPLIANCE:

This position requires compliance with API's written standards, including its Compliance Program and Standards of Conduct and policies and procedures. Such compliance will be an element considered as part of the regular performance evaluation.

Failure to comply with API's Written Standards, which may include the failure to report any conduct or event that potentially violates legal or compliance requirements or API's Written Standards or, for managers and supervisors, fails to detect non-compliant conduct where reasonable efforts would have resulted in detection, will be met by the enforcement of disciplinary action, up to and including possible termination, in accordance with API's Compliance Program Policy and Procedure: Addressing Instances of Non-Compliance through Appropriate Disciplinary Actions.

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit, and use hands to finger handle or feel; to talk; or hear. The employee is frequently required to reach with hands and arms. The employee must occasionally stand, walk, climb or balance, stoop, kneel, crouch or crawl. The employee must be able to frequently lift up to 25 pounds. The employee may occasionally be required to lift 25 to 50 pounds; however, this is not essential; duties may be shifted to accommodate lifting restrictions.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to use close vision (clear vision at 20 inches or less). The employee will occasionally be working near moving mechanical parts, be exposed to outdoor weather conditions and exposed to a risk of electrical shock while running the copier, printer, other standard equipment and answering the telephone. The noise level in the work environment is low to moderate. Stress level can be high at times.

Note: This job description is not intended to be an exhaustive list of all duties, responsibilities or qualifications associated with the job.