Dental Care Coordinator and Billing Specialist - Guadalupe, AZ

Dental Care Coordinator and Billing Specialist - Guadalupe, AZ Pascua Yaqui Tribe - 3.8 Guadalupe, AZ Job Details Full-time 1 day ago Benefits Health insurance Qualifications Driver's License Full Job Description JOB We are looking for a meticulous and organized Dental Care Coordinator and Billing Specialist who effectively captures the dual responsibilities for managing patient care and handling billing processes. The ideal candidate will be a healthcare professional who manages the billing and collections processes, ensuring accuracy and efficiency in handling patient accounts and insurance claims. They will also be responsible for managing and coordinating questions about larger treatment plans or referrals to specialists that the patient may have.

EXAMPLE OF DUTIES 1.

Billing and Claims Management:

Prepare, submit, and track dental insurance claims.

Monitor and ensure timely payments from insurance companies.

Review and appeal unpaid or denied claims.

Generate and issue invoices to patients2.

Patient Account Management:

Maintain accurate patient billing records.

Respond to patient inquiries regarding billing and payment procedures.

Identify and resolve patient billing complaints.

Process refunds to patients and insurance companies.3.

Insurance Coordination:

Verify patient insurance coverage and benefitsLiase with insurance providers to clarify patient coverage and resolve disputes.

Stay updated with current dental terminology, coding, and insurance regulations.

Credentialing new providers with insurance companies.4.

Administrative Duties:

Perform data entry and reporting tasks.

Collaborate with dental office staff to maintain accurate patient records.

Auditing to ensure patient information remains confidential and up to date. 5.

Coordinating Patient Care:

Develop and manage individualized care plansSchedule appointmentsEnsure timely follow upsPoint of contact for provider/patient updates6.

Patient Education:

Educate patients and approved family members about dental conditions, treatment plans, and available resources.7.

Qualifications:

High school diploma or equivalent; additional education, certification in medical or dental insurance courses, dental assisting license, and radiology certificationPrior experience as a medical or dental billerFamiliarity with RPMS, CDT, and ICT codingExcellent organizational skills and attention to detailinterpersonal skills including excellent dental communications and strong writing skills for insurance claim correction/appeals and patient treatment plan presentationsAbility to work with sensitive patient information while maintaining confidentialityAdditional Focus Area Duties and Responsibilities1. Occasional coverage for the Patient Support Service TechnicianPatient interactions: Greet patients, answering patient phone calls, and respond to inquiries

Appointment Managment:

Schedule and confirm patient appointments manage the dentist's schedule.

Manage Patient Records:

Maintain and update patient records, ensure confidentiality and accuracy.

Administration Tasks:

Manage office supplies, sort mail, and ensure reception area is clean and welcoming. Scheduling of patients with appropriate timeframes and providers.

SUPPLEMENTAL INFORMATION

High school diploma or equivalent; additional education, certification in medical or dental insurance coursesDental Assisting CertificateRadiology certification5 years of experience performing dental billing and insurance claimsTraining with RPMS, CDT, and ICT coding

Special Requirements:

Must possess and maintain a valid Arizona Driver's License.

Must have a current Level 1 Arizona Clearance Card or be able to obtain one withinninety (90) days of hire. Failure to maintain a current Level 1 Clearance Card will resultin termination