Insurance Verification Manager

Sage Dental•Boca Raton, FL

5d•Onsite

About The Position

Sage Dental Management is a leading, rapidly growing Dental Service Organization (DSO) committed to innovation, excellence, and patient-centered care. Our Insurance Verification Manager is responsible for overseeing the Insurance Verification team, which is dedicated to executing the verification of patient eligibility, insurance confirmation, and insurance discovery. This role drives consistency and accuracy of third-party payor billing information and improves the timeliness of claims submissions. The manager will work in coordination with other members of our RCM leadership to identify areas of opportunity and growth for the company. This is not a remote position and is based at our Support Center in Boca Raton, FL.

Requirements

Minimum of 2+ years of insurance verification (PPOs) in the dental industry.
3+ years of management experience in the dental industry.
Strong time management and organizational skills.

Nice To Haves

Familiarity with Dentrix software is a plus.

Responsibilities

Overall responsibility of the Insurance Verification team to ensure strategic goals and metrics are achieved.
Oversees the day-to-day activities of the team.
Keeps abreast of all reimbursement billing procedures of third party, private insurance, and government regulations to ensure compliance with current processes.
Improves processes within department with emphasis on quality and efficiency.
Identify root cause of issues and work with others to improve overall processes.
Reports audit metrics for employees to monitor accuracy and productivity rates.
Ensures staff are appropriately trained and held accountable for achieving standards and goals.
Ensure valid insurance information provided to our patients is accurate and complete.
Works with staff to resolve discrepancies and improve accuracy.
Assists in the achievement of company goals and objectives by encouraging and facilitating cross departmental initiatives and cooperation.
Complies with federal, state, and local legal requirements by being aware of existing and new legislations.
Takes escalated phone calls that cannot be effectively resolved by team members.
Communicates with other departments; including front end staff regarding billing issues, and trends to work toward an account resolution and decreases insurance denial percentages.
Conducts team meetings to educate on insurance guidelines, and re-training efforts on accounts incorrectly worked.
Maintains patient confidentiality and functions within the guidelines of HIPAA.
Completes assigned compliance training and other educational programs as required.
Performs other related duties as assigned during and after normal business hours.
Responsible for selection and hiring of qualified staff, ensuring an effective on-boarding, and providing comprehensive training and regular feedback.
Accomplishes staff results by communicating job expectations; planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards.
Establishes and is responsible for annual goals and objectives for the department based on the organization’s strategic goals.