Insurance Coordinator & Credentialing Specialist-Oral Surgery Clinic (2795) Position Available In Shelby, Tennessee
Tallo's Job Summary: The University of Tennessee Health Science Center in Memphis, TN is hiring an Insurance Coordinator & Credentialing Specialist for their Oral Surgery Clinic. This full-time position offers a salary of $20.00 hourly. Responsibilities include insurance eligibility verification, auditing patient health records, and resolving payment issues. Qualifications include a high school diploma and at least four years of related experience.
Job Description
Insurance Coordinator & Credentialing Specialist-Oral Surgery Clinic (2795)
University of Tennessee Health Science Center
in Memphis, TN
Apply Now Type:
Full-Time
Salary:
$20.00/Hourly
Posted:
04/30/2025
Category:
Health and Medical Services Job Description Market Range:
06
Hiring Salary:
$20.00/Hourly
JOB SUMMARY/ESSENTIAL FUNCTIONS
The Insurance Coordinator and Billing Specialist supports insurance-related revenue functions and ensures compliant billing and collections procedures. This position acts as a subject matter expert related to CDT coding offering guidance and directives to students, residents, faculty, and staff. This position provides administrative support for the Department of Oral and Maxillofacial Surgery pre-doctoral curriculum maintaining, coordinating, and communicating with professors and students. Responsibilities
Performs daily insurance eligibility verification. Notifies providers of eligibility restrictions, patient financial obligations, and provides directives on the use of compliant CDT coding.
Performs daily audits on patient health records to ensure financial and coding accuracy including the presence of complete and compliant chart documentation; initiates corrections and communicates errors to providers and staff; requests additional information or documentation as needed; monitors and notifies providers of missing charges.
Proactively resolves payment issues by anticipating and identifying problems and coordinates appropriate solutions before claim submission; corrects fees on accounts as needed before claim submission; responds to payor requests for additional information for pending claims.
Generates, researches, analyzes, and resolves aged insurance balances.
Communicates processes with patients seeking reimbursement and supports efforts in an effective and timely manner.
Updates and edits course syllabi as directed; posts course syllabi and other pertinent documents on Blackboard.
Supports students and clinic staff with insurance-related needs including eligibility, co-payment calculations, and accurate account setup.
Processes provider credentialing applications with commercial and governmental payors; guides providers on necessary steps to complete credentialing applications including assistance with their CAQH profile.
Maintains industry expertise in CDT coding and compliance as well as insurance regulations and billing procedures.
Performs other duties as assigned.
Qualifications
MINIMUM REQUIREMENTS
EDUCATION:
High School Diploma or GED. (TRANSCRIPT
REQUIRED
)
EXPERIENCE
Four (4) years of experience in administration, accounting, insurance field, or a related field; OR a combination of college coursework and related work experience to equal four (4) years. (Five (5) years of private dental claims processing and account reconciliation in a high-volume setting is preferred.)
KNOWLEDGE, SKILLS, ABILITIES
Knowledge of private medical/dental insurance billing policies.
Expert knowledge of medical/dental terminology, treatment planning, and CDT coding.
Knowledge of accounts receivable and collections processes.
Ability to manage multiple job priorities and tasks efficiently, effectively, and accurately while demonstrating close attention to detail.
Ability to communicate professionally and courteously with faculty, residents, students, patients, and staff.
Ability to identify, research, and/or resolve financial conflicts with insurance companies and patient accounts.
Ability to support and contribute to a positive and productive team environment.
WORK SCHEDULE
This position may occasionally be required to work weekends. Job Info
Job Identification 2795
Job Category Administrative
Posting Date 04/29/2025, 03:20 PM
Job Schedule Full time
Locations 910 Madison Avenue, Memphis, TN, 38163, US (On-site)
All qualified applicants will receive equal consideration for employment and admissions without regard to race, color, national origin, religion, sex, pregnancy, marital status, sexual orientation, gender identity, age, physical or mental disability, or covered veteran status. Eligibility and other terms and conditions of employment benefits at The University of Tennessee are governed by laws and regulations of the State of Tennessee, and this non-discrimination statement is intended to be consistent with those laws and regulations. In accordance with the requirements of Title VI of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, and the Americans with Disabilities Act of 1990, The University of Tennessee affirmatively states that it does not discriminate on the basis of race, sex, or disability in its education programs and activities, and this policy extends to employment by the University. Inquiries and charges of violation of Title VI (race, color, national origin), Title IX (sex), Section 504 (disability), ADA (disability), Age Discrimination in Employment Act (age), sexual orientation, or veteran status should be directed to the Office of Equity and Diversity (OED), 910 Madison Avenue, Suite 826, Memphis, Tennessee 38163, telephone at 901-448-2133 or 901-448-7382 (V/TTY available). Requests for accommodation of a disability should be directed to the ADA Coordinator at the Office of Equity and Diversity.
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