Support Services Specialist

University of Iowa

Iowa City, IA Administrative & Clerical / Dental $38,439 to $ yearly

Job Reference #: 19004335

Job Duties:
Performs business functions to support the College of Dentistry Revenue Cycle; duties include claim submission and Accounts Receivable management, cash collection, financial counseling and insurance verification.
Provide Support Services to Clinical and Non-clinical Departments
  • Provides financial counseling to students and patients regarding estimated Insurance coverage and resulting patient out of pocket amounts. Requests down payments according to College of Dentistry policy. Advises provider of available benefit to maximize insurance when treatment stretches over the benefit year. 
Communicate/Collaborate with Internal and External Constituents
  • Reviews eligibility and available benefits for upcoming appointments and informs College of Dentistry providers and program managers of insurance coverage lapses or maxed benefits; this is vitally necessary for the successful delivery of care to our Medicaid population and the prevention of lost revenue for the College. 
Human Resources Management
  • Actively participates in our students’ education by enhancing their understanding of the business aspect of Dentistry; teaches them how to check insurance eligibility and benefits and apply this knowledge to arrive at an affordable treatment plan for their patient. Informs providers of documentation required to ensure successful adjudication of dental/medical insurance claims. 
Financial Management
  • Collects patient balances and down-payments and records same in patient accounting system (PAS).  Balances cash collections to Patient Accounting System (PAS).
  • Obtains and registers insurance information and secures all necessary signatures.  Prepares treatment for submission to insurances.
  • Sets up monthly payment plans according to College of Dentistry guidelines. Monitors patient accounts and contacts patient/guarantor when accounts are delinquent. Bachelor’s degree or an equivalent combination of education and relevant experience.
Requirements:
  • 6 months – 1 year relevant experience in a medical/dental business office with financial counseling, cash collection, knowledge of insurance claim processing requirements/adjudication experience and strong customer service skills including the following skillsets:
 
KNOWLEDGE OF HEALTH AND/OR DENTAL CARE REIMBURSEMENT
Basic Experience:
Knowledge of the full spectrum of activities, practices, tools, and considerations for managing health and/or dental care reimbursement processes.
  • Can identify the major activities of the patient revenue management function and explain to customer/patient.
  • Understands basic principles, techniques and terminology of claims processing and reimbursement.
  • Can identify major types of coverage, associated claims and payment processes.
  • Is aware of the payer's claim settlement practices.

KNOWLEDGE OF HEALTH AND/OR DENTAL CLAIMS
Basic Experience:
  • Knowledge of the full spectrum of activities, practices, tools, and considerations for managing claims processing.
  • Can identify the major activities of the claims function.
  • Understands basic principles, techniques and terminology of dental and medical claims processing.
  • Can identify major types of coverage and associated claims.
  • Is aware of the company's claim settlement philosophy.
 
HIPAA – Knowledge and understanding of the Health Insurance Portability and Accountability Act Working Experience
  • Knowledge and understanding of the Health Insurance Portability and Accountability Act.
  • Describes the implications of the law to own function.
  • Participates in implementing adherence to specific aspect of this law.
  • Describes major HIPAA-related challenges to the organization.
  • Identifies relevant procedures that demonstrate HIPAA adherence.
  • Describes types of plan conversions in compliance with HIPAA guidelines.
HIGHLY Desirable:
  • Experience with electronic health record/patient accounting system.
  • Experience in a dental practice.
 
In order to be considered for an interview, applicants must upload (and mark as “Relevant File”) to their submission:  cover letter, resume, and 3 names of professional reference.  
 
Job opening are posted for a minimum of 14 calendar days. This job may be removed from posting and filled any time after the minimum posting period has ended.
 
Successful candidates will be subject to a criminal background check.

Application Instructions:

For a full job description or additional information, please send an e-mail to COD-Requisitions@iowa.uiowa.edu.

Job ID: 69493

Posted 7 days ago

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