Dental Insurance Coordinator

4 weeks ago


Murray, Utah, United States Specialized Dental Partners Full time

Job Summary

The Insurance Coordinator role at Specialized Dental Partners is a critical position that requires strong communication and organizational skills. The successful candidate will be responsible for ensuring accurate treatment estimates by verifying patients' insurance benefits and resolving any disputes that may arise.

Key Responsibilities

  • Liaise with insurance providers to clarify patients' coverage and resolve disputes about rejected claims.
  • Prioritize and process incoming insurance verifications, referrals, and prior authorization requests.
  • Verify member/patient eligibility and ensure that insurance carrier documentation requirements are met.
  • Understand and explain dental and medical insurance plan benefits to patients and other stakeholders.
  • Effectively communicate with others, including physician offices, insurance companies, and patients, about insurance benefits and costs associated with procedures.

Requirements

  • High school diploma or equivalent.
  • Knowledge of dental/medical benefits and breakdowns is a plus.
  • Proficient computer skills.

Competencies

  • Technical Skills: Assess own strengths and weaknesses, pursue training development opportunities, and strive to continuously build knowledge and skills.
  • Customer Service: Manage difficult or emotional customer situations, respond promptly to customer needs, and solicit customer feedback to improve service.
  • Interpersonal Skills: Maintain confidentiality, listen to others without interrupting, and keep emotions under control.
  • Oral Communications: Speak clearly and persuasively in positive or negative situations, listen and get clarification, and respond well to questions.
  • Written Communication: Write clearly and informatively, able to read and interpret written information.
  • Quality Management: Look for ways to improve and promote quality, demonstrate accuracy and thoroughness.
  • Diversity: Show respect and sensitivity for cultural differences, promote a harassment-free environment.
  • Ethics: Treat people with respect, keep commitments, inspire trust, work with integrity and ethically, and uphold organizational values.
  • Organizational Support: Follow policies and procedures, complete administrative tasks correctly and on time, support organization's goals and values, and respect diversity.
  • Planning/Organizing: Prioritize and plan work activities, use time efficiently.
  • Professionalism: Approach others in a tactful manner, react well under pressure, treat others with respect and consideration, accept responsibility for own actions, and follow through on commitments.
  • Quality: Demonstrate accuracy and thoroughness, monitor own work to ensure quality.
  • Safety and Security: Observe safety and security procedures, report potentially unsafe conditions, and use equipment and materials properly.
  • Adaptability: Adapt to changes in the work environment, manage competing demands, change approach or method to best fit the situation, and able to deal with frequent change, delays, or unexpected events.
  • Attendance/Punctuality: Be consistently at work on time, ensure work responsibilities are covered when absent, and arrive at meetings and appointments on time.
  • Dependability: Follow instructions, respond to management direction, take responsibility for own actions, keep commitments, commit to long hours of work when necessary to reach goals, and complete tasks on time or notify appropriate person with an alternate plan.


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