Dental Insurance Specialist

Stony Brook University•Stony Brook, NY

4d•Onsite

About The Position

At Stony Brook School of Dental Medicine, our Dental Insurance Verification Specialist is responsible for completing varied, diverse and specialized duties to support the Revenue Cycle Department. This includes ensuring compliance and a positive patient experience by accurately and efficiently completing tasks. The position involves clerical functions for the Dental Revenue Cycle department, such as verifying insurance information and resolving problems to ensure an organized patient check-in process and a clean billing process. The specialist will work in a fast-paced team environment and must demonstrate excellence in verbal and written communication, computing, and multi-tasking skills. The incumbent should also have demonstrated experience and expertise in speaking with customers and working well with persons who are under stress.

Requirements

Associate's degree (foreign equivalent or higher) from a college or university program accredited by an agency recognized by the Council for Higher Education Accreditation (CHEA).
In lieu of an Associate's degree, two (2) years of full time working experience in public health or related industry such as insurance may be considered.
One (1) year of full-time working experience in public health or related industry such as insurance.

Nice To Haves

Bilingual in English and Spanish.
Billing, Accounts Receivable, Dental experience, or hospital patient access/registration experience.
Experience working with dental insurance benefits.
Experience working with dental terminology.
Experience as a dental billing/registration representative.
Experience working with EMR computerized registration/financial/IT systems.

Responsibilities

Collect and obtain complete and accurate patient demographic and insurance information, ensuring data is current and coverage verified to sufficiently meet requirements to generate a "clean" bill.
Verify dental insurance eligibility and receive a breakdown of benefits for upcoming appointments by utilizing online websites or by contacting insurance carriers directly.
Review patients out of pocket responsibility and enter into the billing system and spreadsheets.
Alert patients of out of pocket costs prior to appointment so the patient is prepared to make payment at the time of appointment or prior to appointment using our patient portal.
Review daily schedule to determine if the patient needs to make a payment with the revenue cycle department and enter into the spreadsheet provided.
Print and email completed patient tracking spreadsheets to front end departments to ensure an organized patient experience.
Contact provider directly if more information is needed to complete tasks.
Participate in development of organization procedures.
Assist team in understanding carrier websites and patient benefits.
Request and enter insurance referrals as needed.
Answer questions from patients, staff , and providers.
Works in conjunction with the dental departments and billing team to perform clean billing.
Performs miscellaneous job-related duties as assigned.
Maintains strictest confidentiality: adheres to all HIPAA guidelines/regulations.
Other duties or projects as assigned as appropriate to rank and departmental mission.