The University of Minnesota School of Dentistry is recruiting for a Medical and Dental Insurance Follow Up Representative. The main focus of thisposition is to obtain maximum and appropriate reimbursement for all claims from our patients' insurance companies.
The pay range for this position is $22.32 - 25.00 per hour and has access to the University of Minnesota's comprehensive benefits package - please see more about these benefits below.
This position will be expected to work on-site on the University of Minnesota's Twin Cities campus for the six months of the initial training period. Hybrid work may be an option after the initial training period is complete.
The performance goals for this position are:
preparing and submitting timely and accurate insurance claims to third party payers,
carrying out the rules of the payer/insurance company,
ensuring we meet regulatory requirements,
verifying payments and adjustments are appropriately applied to our patients' accounts based on government, contract or other regulations or agreements,
ensuring appropriate follow up on all medical and dental accounts pending payments from all third party payers,
working independently and collaboratively with other members of the Patient Accounting team and School of Dentistry students, faculty, and staff to accomplish work goals.
The DentalInsurance Follow UpSpecialist is a member of the Patient Accounting team. We rely on each other to make the strongest team possible. Our team supports the mission of the School of Dentistry, which is to advance health through scientific discovery, innovative education, and the highest-quality care for all communities.
Detailed Position Responsibilities
Account Management and Problem Solving – 35%
Responsible for submission of timely and accurate medical and dental claims to primary, secondary, and tertiary insurances for both electronic and paper submissions.
Use computers, hardware and basic software programs including email, word processing and spreadsheets to ensures that medical and dental claims have the appropriate information on them for submission to insurance carriers, by reviewing errors or other prebilling insurance reports/worklists.
Make independent decisions that will safeguard the collectability or dollar amount received for services rendered.
Analyze accounts and compare to contracts, agreements and government regulations.
Attend and participate in department and team staff meetings and other meetings as directed.
Participate in cross training and training within the department, including mentoring others.
Contacts patients for additional information in order to have claims processed and paid in a timely manner as needed; use advanced oral and written communication skills and customer service skills to communicate with patients.
Analyzes and reviews claims to ensure that payer specific regulation and requirements are met.
Generates telephone calls to insurance carriers or accesses insurance carrier’s website to follow up on claims using worklists and reports generated for this purpose.
Evaluates and investigates appropriate action to be taken in order to reconcile patient accounts receivable.
Follows up on all unpaid claims through telephone contact or written correspondence to ensure that no account reaches no more than 180 days old from the date of service and is still unpaid by insurance.
Advises Supervisor of any billing errors, third party payer trends, denials or payment fluctuations to ensure proper handling and escalation of issue(s) when necessary.
Other duties as assigned
Auditing – 65%
Performs regular and consistent follow up, denial management, correction and/or reprocessing claims as necessary to ensure timely resolution.
Utilizes all resources available, including electronic inquiries to verify eligibility and claim status.
Audits accounts by verifying that reimbursement amounts are appropriate.
Coordinates refunds, if appropriate.
Coordinates adjustments on patient accounts when necessary.
Submits claims appeals or resubmissions.
Competes accurate payment posting of third party payments on patient accounts.
Moves balances from insurance responsibility to patient responsibility when appropriate.
Reviews and resolves credit balances.
Other duties as assigned
* * You must document all of the required qualifications on your application materials.* *
High School Diploma or GED
Four years of general accounts or office experience. You can substiute training for some of the years of experience.
Experience with medical billing, medical insurance, medical claims, medical data entry, and/or Explanations of Benefits (EOB).
The University of Minnesota, founded in the belief that all people are enriched by understanding, is dedicated to the advancement of learning and the search for truth; to the sharing of this knowledge through education for a diverse community; and to the application of this knowledge to benefit the people of the state, the nation, and the world.