UTS- Temporary Insurance Specialist at UNC Chapel Hill

North Carolina State University•Raleigh, NC

33d

About The Position

This Insurance Specialist position offers both dental and medical insurance services . The Insurance Specialist works in all areas of billing and reimbursement, including private dental insurance companies and managed care organizations. This role requires specialized knowledge of insurance industry standards related to billing and reimbursement, along with a strong understanding of accounts receivable. This position collaborates closely with private insurance carriers, particularly those contracted with the clinics. It also requires a comprehensive understanding of dental and medical terminology, dental procedural and diagnostic coding, medical-dental cross-coding, electronic claims processing, and the policies and contracts of multiple insurance vendors.

Requirements

1-3 years of experience filing dental insurance claims and pre-treatment estimates for private insurance plans.
Effective communication and deductive reasoning are essential skills.
Compliance with HIPAA regulations is mandatory.

Nice To Haves

Responsibilities

Extensive communication with various insurance companies, along with effective use of insurance portals.
Filing dental insurance claims and pre-treatment estimates for privately insured patients; obtaining and providing the clinical documentation necessary for claims processing, such as x-rays, chart notes, and letters of necessity
Investigating denied claims, following up on those investigations, and submitting appeals for those denied claims
Verifying essential documentation including insurance cards, insurance explanations of payment, provider narratives, and insurance consent; and regularly auditing patient records for accuracy and completeness of billing, coding, and clinical documentation