Insurance Coordinator - East Peoria, United States - Secure Dental

Mark Lane

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Mark Lane

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Description

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 followsup on outstanding claims.
  • Sends information as requested by insurance companies such as xrays, 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, coworkers, 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 satisfactorilyequivalent 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, fastpaced, high anxiety environments.
Additional or different duties may be assigned occasionally at employer's discretion.

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