Clinical Financial Counselor (Oral Surgery)

Oral Surgery • Gainesville, FL

1d • $21 - $23

About The Position

The UF College of Dentistry is accepting applications for a Clinical Financial Counselor position in the Department of Oral Surgery. This position is responsible for financial collections, CPT/ICD-9/ADA coding, and filing insurance claims for services rendered. Review daily explanation of benefits from both medical and dental policies; communicate (verbal and/or in writing) with insurance companies for appeals or reconsiderations of unpaid or incorrectly reimbursed claims; responsible for reviewing the college’s electronic claims, prior to submission for error edits; incumbent will be responsible for correcting oral surgery edits and is responsible for identifying and forwarding other departments their; monitoring and working department accounts receivables via reports. Perform oral surgery charge entry for Operating Room procedures, In-Patient and Emergency Room visits with utilizing appropriate ADA, CPT, HCPCS, ICD-10 coding. Interview and counsel patients who are to be treated in the Oral Surgery and Implant Center to determine financial status and/or insurance coverage as needed. Verify insurance coverage for each patient and determine if services to be provided are covered and/or non-covered according to individual insurance policies, as needed. Verify account information in our computer system to ensure accuracy and update accounts as necessary. Assist the clinic with pre-authorization requests for clinical procedures. Intermittent clinical charge entry during backlog and/or staffing shortages for oral surgery and implant Center and serve as a back-up to the OR scheduler as needed. Obtain a copy of the patient’s insurance card and complete all forms required by third-party payers. Input insurance information into the computer system to ensure correct billing for treatment provided.

Requirements

• High school diploma or equivalent and one year of related experience and/or training, including customer service; or an equivalent combination of education and experience.

Nice To Haves

• A bachelor's degree in an appropriate area of specialization; or a high school diploma and four years of appropriate experience.
• CPC (Certified Procedural Coder) certification
• Knowledge of various rules, regulations, and procedures for billing private insurance companies, Medicare, Medicaid for patient treatment.
• Experience with insurance billing.
• Ability to deal with the public in a tactful and courteous manner.
• Aptitude for effective verbal and written communication.
• Ability to plan, organize and coordinate work assignments.
• Capacity for understanding and applying applicable rules, regulations, policies and procedures.
• Ability to work independently.
• Ability to establish and maintain effective working relationships with others.

Responsibilities

• Responsible for financial collections, CPT/ICD-9/ADA coding, and filing insurance claims for services rendered.
• Review daily explanation of benefits from both medical and dental policies
• Communicate (verbal and/or in writing) with insurance companies for appeals or reconsiderations of unpaid or incorrectly reimbursed claims
• Responsible for reviewing the college’s electronic claims, prior to submission for error edits
• Correcting oral surgery edits and is responsible for identifying and forwarding other departments their; monitoring and working department accounts receivables via reports.
• Perform oral surgery charge entry for Operating Room procedures, In-Patient and Emergency Room visits with utilizing appropriate ADA, CPT, HCPCS, ICD-10 coding.
• Interview and counsel patients who are to be treated in the Oral Surgery and Implant Center to determine financial status and/or insurance coverage as needed.
• Verify insurance coverage for each patient and determine if services to be provided are covered and/or non-covered according to individual insurance policies, as needed.
• Verify account information in our computer system to ensure accuracy and update accounts as necessary.
• Assist the clinic with pre-authorization requests for clinical procedures.
• Intermittent clinical charge entry during backlog and/or staffing shortages for oral surgery and implant Center and serve as a back-up to the OR scheduler as needed.
• Obtain a copy of the patient’s insurance card and complete all forms required by third-party payers.
• Input insurance information into the computer system to ensure correct billing for treatment provided.

Benefits

• The University of Florida offers low-cost State Health plans, a number of Dental plans to fit you and your family’s needs, and Vision.
• Domestic partner coverage through GatorCare is also available.
• Optional plans such as life, disability, legal and accident insurance are also available.
• Build your retirement roadmap with competitive pension plans, investment accounts and a host of voluntary add-ons, such as 457 deferred compensation and 403(b) plans.
• UF provides a variety of leave programs including vacation, sick leave, 11 paid holidays, personal leave days, and family medical leave.
• TEAMS employees accrue approximately 22 vacation days annually, 13 sick days annually, and 4 personal leave days, typically used during the holiday closing period (accruals based on full-time employment).
• UF also provides you the flexibility to deal with life’s challenges by offering paid family leave, eight full weeks of leave over a 24-month period.
• UF Employees are also eligible for the GatorPerks discount program , which provides big savings at various businesses and retailers!

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED