Position Title: Insurance Coordinator
 
Employee Status: Non-Exempt
 
Reports To:(Nazish Jafri)
 
Job Summary:

The Insurance Coordinator assists patients with insurance benefits, billing and communicates with insurance companies regarding claims in addition to office Aging reports.

Essential Duties:(Edit the following essential duties as appropriate for your practice. Prioritize in order of importance.)

• Studies the insurance plans that are used most frequently with patients to understand the various nuances of each plan in order to communicate more effectively.
• Documents basic insurance information on the patient’s chart for quick reference.
• Determines insurance eligibility, limitations and payment estimates necessary to facilitate financial arrangements.
• Educates patients, as necessary, regarding insurance, their responsibility and basic terminology.
• Processes and submits insurance claims daily.
• Monitors and follows-up on outstanding claims.
• Sends information as requested by insurance companies such as x-rays, charting, narratives and other documentation for processing the claim when applicable.
• Provides insurance predetermination documentation to patients if required, contacts the patient to make financial arrangements, and schedules treatment.
• Corresponds with insurance companies to resolve payment delays, requests for additional information, or to discuss treatment that has been denied coverage.
• Handles all inquiries concerning insurance on a daily basis.

Knowledge/Skills/Abilities:

• Knowledge of English composition, grammar, spelling, and punctuation.
• Skilled in the use of standard office equipment including: telephones, calculators, copiers, fax, computers, and computer software (MS Excel, Word, Practice Management software).
• Ability to maintain composure and professionalism when exposed to stressful situations.
• Ability to engender trust from the doctors, co-workers, and patients.
• Ability to work cooperatively with management, staff, and patients.
• Ability to prioritize, organize, and complete tasks in a timely and independent manner.
• Ability to accept constructive criticism.
• Ability to understand and follow written and verbal instructions.
• Ability to collect data, establish facts, draw valid conclusions, and maintain confidentiality.
• Ability to communicate and express thoughts and ideas competently.
• Ability to quickly grasp relevant concepts regarding duties and responsibilities.

Education / Experience:

• High school diploma or equivalent
• Minimum of one - two year(s) relevant experience in the dental profession

Special Requirements/Certifications/Licenses:(Enter your requirements if applicable)
 
Physical and Environmental Requirements:

• May be required to lift up to 30 lbs.
• Sedentary position: may be required to sit for long periods of time.
• Vision: close vision, depth perception, and ability to adjust focus.
• Hearing: able to satisfactorily communicate with patients, doctor, and other staff members to ensure that verbal communication is clearly understood, or a satisfactorily-equivalent method of communication.
• Finger dexterity is needed to access, enter, and retrieve data using a computer keyboard or operate equipment.
• Occasional exposure to toxic or caustic chemicals and radiation.
• Exposure to moderate noise levels.
• Exposure to hectic, fast-paced, high anxiety environments.

Additional or different duties may be assigned occasionally at employer’s discretion.