Insurance Coordinator - Red Dirt Orthodontics

JOB DESCRIPTION

POSITION

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Position Title: Insurance Coordinator Effective Date:

Reports To: TBD / Current Manager

Location: Sandy, Park City and Heber

Status: Full-time (32 hours per week) *

• *Hours may be increased based on the needs of the practice.

WORKING CONDITIONS/PHYSICAL REQUIREMENTS

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• Sitting 80%.
• Standing or walking 20%.
• In office (training, required meetings, etc.)
• Exceptional hand dexterity and typing skills to work with standard software programs provided.
• Good computer aptitude in order to input insurance fee schedules, insurance benefits.
• Near Vision—the ability to see details at close range (within a few feet of the observer) as required for computer data entry and the preparation of treatment plans.

VISION/IDEAL OUTCOME

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The Insurance Coordinator is essential to the success of the patient experience. By providing detailed insurance benefit information you are helping each patient make an informed decision regarding the financial impact of their treatment. Your ability to accurately input insurance profiles will assist the Treatment Coordinators significantly as they work to prepare and present every treatment plan.

POSITION SUMMARY

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The Insurance Coordinator is responsible for inputting all insurance profiles (dental) into patient charts in the practice Electronic Medical Record (EMR) system. Additionally, the Insurance Coordinator will obtain a breakdown of benefits from the patient’s insurance company. This individual will input profiles and notate all benefit and coverage estimates in each patient’s chart prior to the patients’ initial consultation with the doctor.

Skills and Abilities

• Relationship building skills
• Negotiation skills
• Computer skills including practice management software, Edge/Ortho 2 preferred but not required.
• Familiarity with dental insurance protocols
• Familiarity with ADA codes
• Ability to function within a team environment and be a supportive and positive contributor
• Ability to market the practice
• Superb verbal skills with, insurance companies, third party companies and team
• Ability to take direction for personal improvement.
• Overall comprehension of practice vision, mission and systems
• Resubmission of denials
• Preferred experience with OK Medicaid, Liberty Medicaid, Dentaquest Medicaid, and all PPO plans.
• Orthodontic experience and knowledge preferred
• Knowledge of reviewing patient accounts and insurance balances
• Experience with accounts receivable
• Self motivated

RESPONSIBILITIES

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• Provide, and complete insurance paperwork and obtain information from patients’ insurance provider(s)

as needed to ensure payment.

• Exercises discretion and independent judgment regarding coverage and insurance estimates.
• Excellent computer skills and ability to use practice software systems.
• Specialized understanding and experience in handling insurance matters in a dental setting.
• Actively pursues provision of excellent customer service.
• Must always represent the practice in a professional, pleasant, and cooperative manner.
• Must be able to comfortably and efficiently handle multiple deadlines and task assignments.
• Must be able to work both independently and cooperatively in team settings.
• Must maintain regular, consistent, and punctual attendance in accordance with assigned schedule

and time off policies.

• Occasionally there may be some travel, by car or plane, required in order to participate in continuing

education or seminars.

• Other duties and tasks, as assigned periodically.

SUCCESS FACTORS

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• Always maintain the highest level of confidentiality to HIPAA standards.
• Must be detail oriented in order to maintain accurate input and reporting of insurance profiles and benefits.
• Must excel in forward thinking in order to anticipate the needs of the doctor as well as the patient.
• Must be flexible and understand that job duties may change from time to time and that this individual may be asked to assist in other areas of the office.
• Must demonstrate active listening by giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
• Must demonstrate good reading comprehension by understanding written sentences and paragraphs.

in work-related documents.

• Must demonstrate excellent communication skills by talking to others to convey information effectively.
• Information Ordering - The ability to arrange things or actions in a certain order or pattern according

to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).

QUALIFICATIONS

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• High School Diploma.
• Accurate typing at 40 words per minute.
• One Year Minimum Office experience.
• Preferred Two Years’ experience.

SPECIAL REQUIREMENTS

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• Job offers may be contingent upon successful completion of a background check.

ACKNOWLEDGEMENT OF RECEIPT BY EMPLOYEE

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Employee Name Employee Signature Date