Dental Insurance Specialist

UNC-Chapel Hill • Chapel Hill, NC

22h • Onsite

About The Position

This position performs dental insurance services for the UNC Adams School of Dentistry. The Dental Insurance Specialist position works in all areas of billing and reimbursement from private dental and medical insurance companies. This position requires specialized knowledge of the insurance industry standards relating to billing and reimbursement in order to perform position duties and a strong understanding of accounts receivable. This position works closely with private insurance carriers, particularly those contracting with the clinics. The position also requires an extensive and detailed understanding of dental and medical terminology, dental procedural and diagnostic coding, medical-dental cross-coding, electronic claims processing and of insurance policies and contracts for multiple insurance vendors.

Requirements

• Specialized knowledge of insurance industry standards relating to billing and reimbursement.
• Strong understanding of accounts receivable.
• Extensive and detailed understanding of dental and medical terminology.
• Extensive and detailed understanding of dental procedural and diagnostic coding.
• Extensive and detailed understanding of medical-dental cross-coding.
• Extensive and detailed understanding of electronic claims processing.
• Extensive and detailed understanding of insurance policies and contracts for multiple insurance vendors.

Responsibilities

• Filing dental insurance claims and pre-treatment estimates for privately insured patients.
• Obtaining and providing the clinical documentation necessary for claims processing, i.e. x-rays, chart notes and letters of necessity.
• Investigating certain denied claims, following-up on those investigations and submitting claims appeals for those denied claims.
• Scanning of such documentation in the electronic patient record as insurance cards, insurance explanation of payment, provider narratives and insurance consent.
• Regularly auditing patient records for accuracy and completion of billing, coding, and clinical documentation.
• Answering questions from patients and providers regarding dental insurance benefits, claim status and account summary.
• Assisting patients with in-house payment arrangements under the policies of the school advising patients of their options.
• HIPAA compliance.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed