Insurance Specialist Intro :

This Insurance Specialist position at UNC Adams School of Dentistry is an essential role focused on the management of both dental and medical insurance processes.

The role demands a detailed understanding of billing, reimbursement, and compliance with insurance standards, making it ideal for candidates with experience in dental or medical insurance environments.

Insurance Specialist Job Details :

The primary responsibilities include filing dental insurance claims, preparing pre-treatment estimates, securing necessary clinical documentation for claims processing, and managing denied claims and appeals.

The specialist will also be responsible for maintaining accurate patient records, auditing billing and coding, and ensuring all clinical documentation is complete.

Additionally, the role involves direct communication with patients and providers to resolve insurance-related inquiries and facilitate in-house payment arrangements in compliance with school policies.

Insurance Specialist Mandatory Skills :

• Proficient in dental and medical terminology, and procedural / diagnostic coding.
• Experienced in medical-dental cross-coding and electronic claims processing.
• Strong understanding of insurance policies, contracts, and HIPAA compliance.
• Ability to manage accounts receivable and navigate insurance billing and reimbursement.

Insurance Specialist Desired Skills :

• Excellent problem-solving and communication skills.
• Ability to work effectively in a team and independently.
• Demonstrated ability to handle multiple tasks and prioritize effectively.
• Accessible and patient-oriented approach in dealing with inquiries and concerns.

Insurance Specialist Location :

This onsite position is based in Chapel Hill, North Carolina, United States.