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Dental Managed Care Specialist

United Community & Family Services IncNorwich, CT
Hybrid

About The Position

UCFS strives to use person-centered care to improve the health and well-being of everyone in our community. We are currently seeking a Managed Care Specialist to join our busy dental office. This role is responsible for verifying all insurance eligibility for scheduled patient appointments, preparing treatment plans aligned with insurance requirements and patient needs, and identifying and securing prior authorization requirements prior to services.

Requirements

  • Associates degree in related field with at least one year experience or equivalency of High School diploma plus three – five years' experience in clerical & billing operations, to include working knowledge of third-party payer procedures and practices
  • Experience with dental treatment coordination preferred
  • Knowledge of common dental codes (CDT) a plus
  • Demonstrated customer service, communications, data entry and problem-solving skills
  • Ability to work independently with a high degree of accuracy and detail in a fast-paced environment
  • Ability to use MS Office Suite, Internet, e-mail and Medical Manager

Nice To Haves

  • Experience with dental treatment coordination
  • Knowledge of common dental codes (CDT)

Responsibilities

  • Ensure authorization for dental services are obtained, documented, scanned and tracked.
  • Assists providers with preparation of required documentation/forms for treatment authorization.
  • Verifies client insurance; entails contacting insurance companies to obtain benefits related to services being rendered and updating the client insurance information in Practice Management system.
  • Write up proposed treatment from providers, indicating client financial responsibility.
  • Maintain notes in the patient account/appointment to notify Client Service Representative(s) of payments due.
  • Enters charges for services rendered
  • Research and rectify denied claims involves posting denials into electronic Practice Management System
  • Provides client assistance in person and over telephone with payment related inquiries, involves providing explanation of patient statements/charges

Benefits

  • Flexible schedules
  • Competitive salaries
  • Generous paid time off including 3 weeks' vacation, 4 floating holidays and 10 sick days each year
  • Medical, dental and vision insurance
  • 401(k) plan with 6% employer contribution
  • Paid life and disability insurance
  • Employee Assistance Program (EAP)
  • Additional voluntary benefits
  • National Health Service Corp. Loan Repayment
  • Public Service Loan Forgiveness eligibility

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

Associate degree

Number of Employees

101-250 employees

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