Dental Managed Care Specialist at United Community & Family Services Inc

Norwich, Connecticut, United States -

Full Time

Start Date

Immediate

Expiry Date

29 Jul, 26

Salary

0.0

Posted On

30 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance verification, Dental treatment coordination, Prior authorization, Billing operations, CDT coding, Customer service, Data entry, Problem-solving, Communication, MS Office Suite, Medical Manager, Claims management, Patient account management, Documentation, Clerical operations

Industry

Hospitals and Health Care

Description

Description UCFS strives to use person-centered care to improve the health and well-being of everyone in our community. Share in our vision of being Eastern CT’s best choice for patient-centered healthcare! We are currently seeking a Managed Care Specialist to join our busy dental office. This role is responsible for verifying all insurance eligibility for scheduled patient appointments, prepare treatment plans aligned with insurance requirements and patient needs and identify and secure prior authorization requirements prior to services. Expected Schedule: Full-Time, 40 hours/week; Monday through Friday, 8:00am- 5:00pm; Hybrid would be considered Job Responsibilities Ensure authorization for dental services are obtained, documented, scanned and tracked. Assists providers with preparation of required documentation/forms for treatment authorization. Verifies client insurance; entails contacting insurance companies to obtain benefits related to services being rendered and updating the client insurance information in Practice Management system. Write up proposed treatment from providers, indicating client financial responsibility. Maintain notes in the patient account/appointment to notify Client Service Representative(s) of payments due. Enters charges for services rendered Research and rectify denied claims involves posting denials into electronic Practice Management System Provides client assistance in person and over telephone with payment related inquiries, involves providing explanation of patient statements/charges Why UCFS? Our team is passionate about the services we provide and is committed to making a difference for our clients and community. At UCFS, a Federally Qualified Health Center, we specialize in integrated care which means having access to essential services to meet the complex needs of those we serve. We work collaboratively across programs at our agency to remove barriers and streamline access to services including behavioral health services, primary care, dental, case management and more. If you are committed to improving the health and well-being of our community, we encourage you to apply for this exciting opportunity. Requirements Education and Experience Associates degree in related field with at least one year experience or equivalency of High School diploma plus three – five years' experience in clerical & billing operations, to include working knowledge of third-party payer procedures and practices Experience with dental treatment coordination preferred Knowledge of common dental codes (CDT) a plus Demonstrated customer service, communications, data entry and problem-solving skills Ability to work independently with a high degree of accuracy and detail in a fast-paced environment Ability to use MS Office Suite, Internet, e-mail and Medical Manager UCFS offers a comprehensive benefits package including: Flexible schedules Competitive salaries Generous paid time off including 3 weeks' vacation, 4 floating holidays and 10 sick days each year Medical, dental and vision insurance 401(k) plan with 6% employer contribution Paid life and disability insurance Employee Assistance Program (EAP) Additional voluntary benefits - National Health Service Corp. Loan Repayment Public Service Loan Forgiveness eligibility UCFS is committed to providing equal employment opportunities to all applicants and employees as protected by applicable federal and/or state law.

Responsibilities

The Managed Care Specialist is responsible for verifying insurance eligibility, securing prior authorizations, and preparing treatment plans for dental patients. They also manage denied claims, enter charges, and assist patients with payment-related inquiries.