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 Administrator and works closely with the Diagnostic Sciences clinics it supports: Craniofacial Pain Center, Oral Medicine and Tufts Oral Pathology Services.
The Craniofacial Pain Center (TMD) 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.
Oral Medicine (OM) is dedicated to improving the quality of life in high risk and medically compromised populations by engaging in basic translational research to promote general health through good oral health practices.
Tufts Oral Pathology Services (TOPS) has a long and distinguished record of providing outstanding care and educations in the field of oral and maxillofacial pathology. As faculty of TUSDM, our expertise covers all aspects of oral and maxillofacial pathology, clinical management of oral disease, forensic dentistry and basic science and clinical research.
The Insurance Coordinator is responsible for checking patient insurance eligibility and obtaining and tracking prior authorizations and following up with insurances, patients and internal teams; documents/updates accounts regarding coverage guidelines and limits; answers eligibility and benefit coverage inquiries; communicates with healthcare providers, insurances, ensuring required standards are met and compliant and, when applicable, makes recommendations for resolution.
The Insurance Coordinator also acts as a back-up to the front desk and billing teams, assisting with answering phone calls, scheduling appointments, monitoring faxes and maintaining patient records.
High School degree/GED and 2 – 3 years of experience in the field or in a related area and knowledge of dental/medical insurances, billing processes, billing/healthcare compliance and insurance requirements.
Customer service focused (internal and external), with excellent communication, attention to detail, organizational and interpersonal skills.
Certified Dental Coder (CDC) applicant with 4 – 6 years of dental/medical insurance coding/billing.
Knowledge of third party billing.
Knowledge of Medicare regulations and guidelines, as well as commercial insurance coding/billing practices.
Familiarity with ADA, CPT and ICD-10 codes.
Experience in a fast-paced dental/medical healthcare setting.
Exceptional attention to detail.
Knowledge Axium/Dentrix software.