Dental Insurance Collections Specialist Jobs

Strong organizational/time management skills and multi-tasking abilities.

Customer service, conflict management and dispute resolution skills.

Required Skills:A Bachelor's degree or equivalent education

Responsibilities:Process and/or adjudicate claims or treatment authorization requests that require professional review; review supporting documentation and adjudicate by applying dental standards.

A minimum of 10+ years clinical experience

Special training and/or professional certificates may be substituted for experience.

High school diploma or equivalent high school certification.

Three to five years of previous billing or insurance experience.

For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/

May act as a Lead IBC Assistant. May train and provide guidance to other IBC Assistants.

Performs collection follow-up duties on specific financial classifications, such as commercial insurance, self-pay, Medicare and Medicaid claims.

Handles discounts, adjustments and charge corrections.

Bachelor’s Degree/Associate’s Degree OR High School degree/GED with 2 - 3 years of insurance benefits, eligibility and coverage experience.

Knowledge of dental/medical insurances, insurance processes, billing/healthcare compliance and insurance guidelines, rules, regulations and requirements.

Is responsible for checking patient insurance eligibility, benefits, limitations and coverage.

Answers eligibility and benefit coverage inquiries.

Must be customer service focused (internal and external), with excellent communication, attention to detail, exceptional organizational and interpersonal skills.

Have healthcare business or insurance knowledge.

Knowledge, Skill, and Ability Requirements

Works with management to identify, trend, and address root cause of denials, helps pinpoint strategies for reducing A/R

Other duties and responsibilities as assigned.

The Insurance Collections Representative will report to an HMS Manager

Broad Knowledge of Government Programs and Insurance Regulations

Ability to pay close attention to details; strong follow-up and follow-through skills

Interpersonal skills/expectations include: Excellent communication skills. Effective telephone skills a must.

Organization skills/expectations include: Attention to detail necessary.

Working on all denied/partially paid claims until full payment is received

Thorough understanding of all common and uncommon denials

Working in a time-efficient manner to cover all denied claim from assigned homes

Understanding when to forward a case to the biller/tracker