Tufts University School of Dental Medicine (TUSDM) offers one of the most forward-looking educational environments in dental medicine in the country. The Medical and Dental Billing team, along with other members of the Finance and Administration team, supports the financial management and administration of the dental school. This position reports directly to the Billing Manager and works closely with school clinics it supports: Clinic Business Operations, Dental Faculty Practice, Craniofacial Pain and Sleep Center, Oral Medicine, Oral and Maxillofacial Pathology, Tufts Dental Facilities and Tufts Community Dental Program.
Clinic Business Operations (CBO) supports the clinical and education efforts within the Pre-doctoral, Postgraduate and Specialty clinical treatment areas of the School and is responsible for all patient care services billing for these clinics, as well as billing support for IRB clinical study patients. The Postgraduate Clinics (residents) are the Specialty Clinics, which includes: Endodontics, Orthodontics, Periodontics, Prosthodontics, Pedodontics and Oral and Maxillofacial Surgery.
Dental Faculty Practice (DFP) is a group dental practice that affords full-time faculty the opportunity to practice dentistry and oral surgery at the Tufts University School of Dental Medicine. Participation in DFP encourages faculty members to maintain working relationships with other clinicians and provides a private patient care facility for the Tufts community and residents of the greater Boston area. DFP consists of faculty members practicing, within the facilities provided by the university and those practicing in affiliated hospitals.
The Craniofacial Pain Center specializes in the diagnosis and treatment of complex painful disorders of the head and neck region. The mission of our Center is to provide a comprehensive diagnostic evaluation, a concise and coordinated management plan in a holistic, integrated biomedical patient-focused manner.
The Oral Medicine Clinic is dedicated to improving the quality of life in high risk and medically compromised populations by engaging in basic and translational research to promote general health through good oral health practices.
Oral and Maxillofacial Pathology is a dentistry specialty that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates that causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research, diagnosis of diseases using clinical, radiographic, microscopic, biochemical or other examinations and management of patients.
Tufts Dental Facilities for Persons with Special Needs (TDF) is a network of seven outpatient clinics that provides dental care to approximately 7,000 developmentally disabled patients in the state of Massachusetts under the umbrella of TUSDM and in partnership with the Massachusetts Department of Public Health (DPH) and the Massachusetts Department of Developmental Services (DDS). Additional patient treatment is provided in the operating room setting at four affiliated hospitals within the state. The TDF program also provides a venue for teaching General Practice Residents through the Tufts GPR Program and 4th year dental students from TUSDM.
Tufts Community Dental Program (TCDP) is a mobile program that provides dental services to children at schools across the state of Massachusetts that otherwise would not have access to dental care.
Under general supervision, the Billing Assistant II is responsible for providing excellent customer service in patient account management. This individual also submits patient charges and claims to 3rd party dental insurance companies; posts payments; works through denied claims to resolution; answers complex patient inquiries and timely reviewing and working on aging patient accounts and performs other billing related duties to assist in the management of patient accounts and billing.
Typically, a High School degree/GED and 1-3 years of experience in the field or in a related area.
Basic knowledge of dental and coding terminology.
Knowledge of dental/medical billing software is strongly preferred.
Needs to be driven, Excel knowledge, innovative, independent, self-starter, a leader, team player, analytical intelligence, exceptional attention to detail, healthcare business or insurance knowledge, ability to effectively communicate technical information, aptitude and willingness to learn and drive change.
Dental coder certification (CDC) required, or within 1 year of hire date.
Basic knowledge of dental/medical billing software and Microsoft Office, along with dental terminology and 3rd party billing.
Certified Dental Coder (CDC) applicant with 4 – 6 years of medical/dental insurance coding/billing.
Knowledge of third-party billing.
Knowledge of MassHealth and Medicare regulations and guidelines, as well as commercial dental/medical insurance coding/billing practices.
Familiarity with ADA codes, CPT Codes and ICD-10 Codes.
Experience in a fast-paced dental/medical setting.
Knowledge axiUm/Dentrix software.
An employee in this position must complete all appropriate background checks at the time of hire, promotion, or transfer.