RCM Insurance Verification Coordinator

3 days ago

Toms River, New Jersey, United States Paradigm Oral Surgery Full time $55,000 - $75,000 per year

Position: Insurance Verification Coordinator - Oral Surgery (on-site, not hybrid or remote)

Location: Center for Oral & Maxillofacial Surgery | Jackson, NJ

Center For Oral and Maxillofacial Surgery

ROLE OVERVIEW 

The On-Site Insurance Verification Specialist is responsible for accurately verifying patients' medical and dental insurance benefits and eligibility prior to their appointments and investigating any missing information that prohibits verification. This role plays a critical part in ensuring a seamless billing process and positive patient experience by identifying coverage, obtaining authorizations requirements, and communicating clearly with both insurance carriers and patients.  

KEY RESPONSIBILITIES  

  • Work with third party insurance verification company to ensure patient insurance is verified in a timely manner. 
  • Serve as liaison between insurance providers, staff, and patients regarding eligibility, payments, approvals, etc. 
  • Work with various insurance companies to navigate their processes in an effort to achieve consistent outcomes.
  • Provide exceptional customer service while interacting with staff, insurance providers, and patients over the phone, in person and via electronic communication.
  • Communicate with patients, over the phone or in person, to help them understand the cost associated with treatment.
  • Updating and maintaining patient insurance information within OMSVision.
  • Adhere to deadlines and prioritize work against the patient schedule.
  • Other related duties as assigned.

ESSENTIAL QUALIFICATIONS 

  • High School Diploma or equivalent required
  • Associate's degree or vocational school training preferred
  • Knowledge of medical and dental terminology and insurance benefits
  • At least one year of prior experience in Dental Office workflows and Revenue Cycle functions to include Scheduling, Registration, Insurance verification, fee schedules, claim submission, charging/coding requirements, insurance AR follow up and payment posting process
  • In-depth knowledge of CDT, CPT, AND ICD-10 coding systems. 
  • Ability to stay updated on changes in coding guidelines and reimbursement policies.  
  • Experience with dental practice management software, insurance portals, clearing houses, insurance guidelines, and MS Office (experience with Microsoft excel)
  • Excellent math and data entry skills
  • Strong interpersonal and organizational skills to work within a team setting and as an individual contributor
  • Excellent oral and written communication skills
  • Problem-solving and critical-thinking abilities

What We Offer: 

  • Core Benefits & Wellness 
  • Comprehensive Medical, Dental & Vision Insurance (Virtual Care included) 
  • Confidential Employee Assistance Program (EAP) for you and your family 
     

Financial Wellness 

  • Competitive Pay with Bonus Opportunities & Annual Merit Increases 
  • 401(k) Retirement Plan with Company Match 
  • Health Savings Account (HSA) options with HDHP plans
     

Life Insurance Protection 

  • Company-Paid Basic Life Insurance 
  • Optional Supplemental Life Coverage for You, Your Spouse & Children
     

Time Away & Life Balance 

  • Generous Paid Vacation (starting at 2 weeks) + 6 Paid Holidays 
  • Short- and Long-Term Disability Coverage 
  • Supportive Leave of Absence Options

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