Insurance Coordinator - Clinic Business Office, School of Dental Medicine - (19001907)
Tufts University School of Dental Medicine (TUSDM) offers one of the most forward-looking educational environments in dental medicine in the country. The Medical and Dental Billing team, along with other members of the Finance and Administration team, supports the financial management and administration of the dental school. This position reports directly to the Billing Administrator and works closely with the Diagnostic Sciences clinics it supports: Craniofacial Pain Center, Oral Medicine and Tufts Oral Pathology Services.
The Craniofacial Pain Center (TMD) specializes in the diagnosis and treatment of complex painful disorders of the head and neck region. The mission of our Center is to provide a comprehensive diagnostic evaluation, a concise and coordinated management plan in a holistic, integrated biomedical patient-focused manner.
Oral Medicine (OM) is dedicated to improving the quality of life in high risk and medically compromised populations by engaging in basic translational research to promote general health through good oral health practices.
Tufts Oral Pathology Services (TOPS) has a long and distinguished record of providing outstanding care and educations in the field of oral and maxillofacial pathology. As faculty of TUSDM, our expertise covers all aspects of oral and maxillofacial pathology, clinical management of oral disease, forensic dentistry and basic science and clinical research.
The Insurance Coordinator is responsible for checking patient insurance eligibility; obtaining and tracking prior authorizations and following up with insurances, patients and internal teams; documents/updates accounts regarding coverage guidelines and limits; answers eligibility and benefit coverage inquiries; communicates with healthcare providers, insurances, ensuring required standards are met and compliant and, when applicable, makes recommendations for resolution.
The Insurance Coordinator also acts as a back-up to the billing team, assisting with answering phone calls and billing administrative tasks.
High School degree/GED and 2 - 3 years of experience in the field or in a related area and knowledge of dental/medical insurances, billing processes, billing/healthcare compliance and insurance requirements.
Customer service focused (internal and external), with excellent communication, attention to detail, organizational and interpersonal skills.
Certified Dental Coder (CDC) applicant with 4 - 6 years of dental/medical insurance coding/billing.
Knowledge of third party billing.
Knowledge of Medicare regulations and guidelines, as well as commercial insurance coding/billing practices.
Familiarity with ADA, CPT and ICD-10 codes.
Experience in a fast-paced dental/medical healthcare setting.
Exceptional attention to detail.
Knowledge Axium/Dentrix software.
Special Work Schedule Requirements: Dental Clinics, 40 hour work week, hours are Monday- Friday 8am-5pm An employee in this position must complete all appropriate background checks at the time of hire, promotion, or transfer.
Primary Location: United States-Massachusetts-Boston
Job: Administrative Support
Organization: Clinic Business Office-Dental
Employee Status: Regular Schedule: Full-time
Job Posting: Oct 18, 2019, 7:09:11 PM
Internal Number: 19001907
About Tufts University
Tufts is a leader in American higher education, distinctive for its success as a moderately sized university that excels at research and providing students with a personal experience. Our unique combination of research and liberal arts attracts students, faculty and staff who thrive in our environment of curiosity, creativity and engagement.
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