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Overview

Tufts University School of Dental Medicine (TUSDM) offers one of the most forward-looking educational environments in dental medicine in the country. Clinic Billing Operations (CBO) supports patient care services billing for the Dental School. 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 Patient Financial Manager and works closely with all revenue cycle aspects of the School Clinics: Clinic Billing Operations, Dental Faculty Practice, Craniofacial Pain and Sleep Center, Oral Medicine, Oral and Maxillofacial Pathology and Tufts Dental Facilities, Pre-doctoral, Postgraduate and Specialty clinical treatment areas of the School. The Postgraduate Clinics (residents) are the Specialty Clinics, which includes:  Endodontics, Orthodontics, Periodontics, Prosthodontics, Pedodontics, Oral and Maxillofacial Surgery, AEGD and Geriatric Dentistry.

What You'll Do

Clinic Billing Operation’s Patient Financial Administrator (PFA) is responsible for overseeing all patient facing revenue cycle activities with a goal of maximizing collections in a cost-effective manner that is in compliance with federal, state and payer-specific requirements, while ensuring patients understand and are informed regarding their financial responsibilities. The PFA oversees and directly backs-up all patient facing front desk support roles and provides leadership, performance management, financial management, collections oversight and evaluates and monitors patients’ front desk experience.

The Patient Financial Administrator is responsible for the day-to-day administration of all aspects of the Dental School front desk operations, ensuring all applicable policies and guidelines are adhered to and works continuously to improve internal processes to enhance and support the patient’s journey. PFA’s direct reports may include: Patient Financial Coordinators, Patient Financial Leads, Patient Registration Coordinators, Patient Registration Leads and Dental School first floor front desk patient intake team: Practice Administrator and Patient Registration Assistant I. PFA’s role and responsibilities are deadline driven and requires accuracy and attention to detail. Along with his/her management team, the PFA ensures accountability, by promoting open communication; monitoring performance and establishing collaborative working relationships. Plays a critical role in the Dental School’s revenue cycle management and has a direct impact on the clinic’s financial and billing outcomes success.

What We're Looking For

Basic Requirements:

• Bachelor’s Degree/Associate’s Degree OR High School degree/GED and 3+ years of proven compliant dental/medical healthcare financial, treatment planning or billing coordination, with insurance benefits, eligibility, limitations and guidelines.
• Must have exceptional EQ (emotional intelligence) and be customer service focused (internal and external), with excellent communication, attention to detail, organizational and interpersonal skills.
• Knowledge of pre-claims requirements for dental/medical insurances, insurance processes, billing/healthcare compliance and insurance guidelines, rules, regulations and requirements.
• Working knowledge of prior authorizations, insurance verification, including accurate and timely communication to internal team members and patients regarding financial responsibilities based on eligibility, benefits and coverage. 
• Requires expert attention to detail and experience coordinating benefits.
• Needs to be driven, Excel knowledge, innovative, independent, self-starter, a leader, team player, analytical intelligence, exceptional attention to detail, ability to effectively communicate technical information, adaptable with an aptitude and willingness to learn and drive change.
• Dental coder certification (CDC) required, or within 1 year of hire date

Preferred Qualifications:

• Bachelor’s degree preferred.
• Certified Dental Coder (CDC) applicant with 4 - 6 years of dental/medical insurance verification and/or financial coordination experience in a fast-paced dental/medical healthcare setting.
• Expert knowledge of Medicare, MassHealth and commercial insurance pre-claims requirements, regulations and guidelines.
• Expert knowledge axiUm software.
• Familiarity with ADA codes, CPT Codes and ICD-10 Codes.
• Experience in a fast-paced dental/medical setting.
• Knowledge axiUm software