What are the responsibilities and job description for the Dental Managed Care Specialist position at UCFS Healthcare?
Job Type
Full-time
Description
UCFS strives to use person-centered care to improve the health and well-being of everyone in our community. Share in our vision of being Eastern CT’s best choice for patient-centered healthcare!
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, prepare treatment plans aligned with insurance requirements and patient needs and identify and secure prior authorization requirements prior to services.
Expected Schedule: Full-Time, 40 hours/week; Monday through Friday, 8:00am- 5:00pm; Hybrid would be considered
Job Responsibilities
Our team is passionate about the services we provide and is committed to making a difference for our clients and community. At UCFS, a Federally Qualified Health Center, we specialize in integrated care which means having access to essential services to meet the complex needs of those we serve. We work collaboratively across programs at our agency to remove barriers and streamline access to services including behavioral health services, primary care, dental, case management and more. If you are committed to improving the health and well-being of our community, we encourage you to apply for this exciting opportunity.
Requirements
Education and Experience
Full-time
Description
UCFS strives to use person-centered care to improve the health and well-being of everyone in our community. Share in our vision of being Eastern CT’s best choice for patient-centered healthcare!
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, prepare treatment plans aligned with insurance requirements and patient needs and identify and secure prior authorization requirements prior to services.
Expected Schedule: Full-Time, 40 hours/week; Monday through Friday, 8:00am- 5:00pm; Hybrid would be considered
Job 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
Our team is passionate about the services we provide and is committed to making a difference for our clients and community. At UCFS, a Federally Qualified Health Center, we specialize in integrated care which means having access to essential services to meet the complex needs of those we serve. We work collaboratively across programs at our agency to remove barriers and streamline access to services including behavioral health services, primary care, dental, case management and more. If you are committed to improving the health and well-being of our community, we encourage you to apply for this exciting opportunity.
Requirements
Education and Experience
- 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
- 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