Fee Schedule Administrator - Tampa Corporate

Coast Dental

About The Position

The Fee Schedule Administrator organizes and maintains insurance fee schedules, ensuring they are loaded into the Practice Management System in a timely manner. The role maintains insurance alerts and addresses limitations and exclusions for proper billing. The administrator must understand how fees and alerts entered into the system affect operations and other Support Office departments. The position supports dental practices with fee, insurance filing, and portal-access inquiries; communicates plan and fee schedule updates to offices; and works with practices to improve accuracy through training and education. The role also contacts insurance carriers about portal access and functionality and manages office-requested account and password changes. Work is primarily sedentary in clean, well-lit, relatively quiet workstations in areas designed to make a good impression.

Requirements

Detailed experience with insurance company pricing, underwriting, or medical/dental billing and coding.
Ability to organize large amounts of data, including plan documents, directories, spreadsheets, and files.
Proficiency in Microsoft Office, especially Excel, including the ability to use lookups, conditional statements, and data modeling.
Attention to detail, ability to multitask, ability to handle sensitive information, and ability to maintain strict confidentiality.
Strong oral communication, including listening, seeking clarification, responding to questions, and maintaining open communication with involved parties.
Strong written communication, including clear and informative writing, editing for spelling and grammar, adapting writing style to needs, and interpreting written information.
Problem-solving skills, including identifying problems promptly and skillfully gathering and analyzing information.
Teamwork skills, including balancing team and individual responsibilities and contributing to a positive team spirit.
Professionalism, including accepting responsibility for one's actions and following through on commitments.

Nice To Haves

Dental office or dental experience is preferred.

Responsibilities

Maximize company-wide insurance receivables through proper fee schedule interpretation.
Identify and load insurance fee schedule limitations and exclusions in the Practice Management System for proper billing.
Maintain accepted insurance plans and archive old, discontinued, or unused plans.
Accurately load and maintain fee schedules and plan alerts in the Practice Management System, keeping fees current and active for relevant effective dates; distribute updates to dental offices in a timely manner and archive deactivated fee schedules. The stated minimum accuracy standard is 98%.
Ensure fees are paid at negotiated rates.
Support dental practices by responding to inquiries regarding fees, insurance filing, and portal access.
Create and maintain insurance CDT procedures, explosion, and product codes in the Practice Management System; create promotional codes when requested by the Senior Leadership Team.
Train practices to correct errors and work to eliminate linkage errors through education and training.
Contact insurance carriers, using online and offline communication methods, about portal access and functionality issues.
Reset passwords and manage insurance-carrier website user accounts at office request.
Read and analyze explanations of benefits and make appropriate adjustments according to Coast Dental processing criteria.
Perform other duties as assigned.