Dental Insurance Benefits Coordinator - Miami, United States - Miami Beach Medical Group

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    Description
    The Dental Insurance Benefits Coordinator works with insurance companies to verify patients' benefits, calculates, and collects patients' outstanding payments. The coordinator should achieve excellent customer service and share a professional relationship with insurance companies to ensure success in balancing benefits with insurance payments.

    Duties and Responsibilities
    • Verify and determine insurance history and eligibility, coverage benefits, and pre-authorizations.
    • Be the Subject Matter Expert (SME) with the patient's insurance in the contract fee schedule.
    • Explain insurance benefits to patients.
    • Organize and present payment schedules.
    • Enter data using dental practice management software.
    • Generate reports for all activities.
    • Follow up delinquent payments, overdue accounts, and non-paid insurance claims.
    • Process patient and insurance payments and refunds.
    • Upload completed insurance verification forms.
    • Monitor weekly, monthly, and quarterly reports to confirm payment from clients and insurance companies.
    • Contact patients post-visit to gauge patient satisfaction.
    • Perform other duties as assigned.
    Qualifications / Education / Licenses
    • Bilingual in English and Spanish preferred.
    • High school diploma, GED, or related.
    • Minimum of 2 years' experience in a dentist office environment.
    • Excellent communication skills.
    • Proficient with data entry.
    • Experience in dental practice management software.
    • Microsoft Office experience (MS Word, Excel, Outlook).
    • Knowledge of dental procedures and insurance billing codes.