Key accomplishment: Decreased cash posting backlogs by processing refunds and account adjustments. Practice within the scope of ethical principles, Employ collaborative interventions which focus, facilitate, and maximize the member’s oral care outcomes, Identify issues which can be used to educate/train internal staff, streamline and improve processes and update documentation. Includes verification of patient personal information, requesting completion of personal data form and health questionnaire, Collect and review visit slips for proper completion and patients' treatment status, Enter all visit slip data into appropriate systems regarding treatment that was performed, member amount paid, billed or waived and future treatment plans, Perform scheduling functions for members, patients, staff and dentists including initial scheduling, return appointments, short notice cancellations, short notice fills, confirmation calling and emergency appointments, Provide scheduling support for RDH schedules, Ensure all dental records are available according to updated printed schedule, Perform detailed discussions with patients regarding fees and benefits associated with treatment plans, Sets up and monitors payment contracts with patients, contacts patients as necessary to discuss delinquent accounts, Collect all fees for services rendered in accord with the individual patient's benefit; the Dental Program's published fee schedule and cash handling policies, Perform other duties as assigned by supervisory personnel and dentist staff that are consistent with the individual's training and experience in and active and cooperative manner, One (1) year of dental member assistant or dental member assistant (front office) experience with understanding of dental clinical procedures, Demonstrated customer service, cash handling, problem solving and interpersonal skills, Ability to handle multiple tasks and work under indirect supervision, Ability to conduct confidential and complex financial discussions in a discrete, caring and tactful manner with a diverse member population, Two (2) or more years Dental Assistant experience with knowledge of clinical dentistry AND/OR two (2) or more years Dental Member Assistant experience OR of a combination of these types of experience combined with experience in a customer service or insurance setting relating to dental services, preferred, Minimum typing speed of 20 wpm, preferred, Knowledge of dental appointing system (TEAM) and patient accounting system (SPARCS), preferred, Create and maintain a diverse, high performing team capable of doing the work by setting expectations, recruiting best talent for open positions, addressing performance issues early and developing team members by providing ongoing feedback and appropriate development opportunities, Set objectives for and with employees that aligns with the goals of Dental Claims and holds them accountable to meet those objectives, Arranges training for employees as needs arise, Addresses employee complaints and resolves personnel issues, Responsibilities (reviews, salary, and incentives. Skills : Microsoft Office, Administrative Assistant, Administrative Support, Administrative Duties, Accounts Receivable, Medical Terminology, Account Reconciliation, Accounting, Bookkeeping, Insurance Verification, Insurance, Customer Service, Call Center, Collections, Data Entry. - Instantly download in PDF format or share a custom link. Follow-up on exception rates and discounts along with research of payments and client charges. Hoping to resume as a Medical Billing Specialist at Savior Medicals; coming with 5+ years of billing experience in a medical setting to provide effective and efficient data entry and invoicing services, as well as to expedite insurance claim payments. Skills : Patient Access, Revenue Cycle, Operations, Process Improvement, Leadership, Business Operations Management, Financial Counseling, Reimbursement, Third Party Collections, Customer Service, Medical Billing. The red flag should be raised to signal that a room turnover or miscellaneous help is needed, The hygiene processing technician is to help turnover all hygiene rooms, sterilize all instrumentation for the practice, clean appliances for patients, and retrieve all supplies and instrumentation that the hygienists need, The hygiene processing technician is to perform all the end of day tasks and weekly maintenance tasks described on the checklists, Understanding of Infection Control procedures and practices, Basic computer skills for instrument management, The ability to read, write, comprehend English and follow detailed technical instructions; ability to communicate appropriately with others in order to fulfill above duties, A thorough knowledge of the care, handling, identification and utilization of surgical and specialty equipment is required, The ability to prioritize tasks, work under pressure and meet deadlines; ability to work independently on routine tasks without constant supervision, Employee must be extremely conscientious with required procedures; must be accurate and willing to follow set rules, The incumbent must be able to work in a fast-paced environment with demonstrated ability to juggle and prioritize multiple, competing tasks and demands and to seek supervisory assistance as appropriate, Work requires manual dexterity, standing walking, lifting and pushing, MUST BE ABLE TO LIFT 15 POUNDS OVER HEAD LEVEL, Resolve customer service inquiries which could include: claims status and billing and payment issues, Constantly meet established productivity, schedule adherence, and quality standards, Answer member calls in a professional and courteous manner, Follow up if necessary in a timely manner, Accurately process claims according to documented procedures, Obtain accurate information using multiple resources, Ability to work in a production driven environment, Responsible for providing expertise and customer service support to members, customers, and / or providers, Direct phone-based customer interaction to answer and resolve a wide variety of inquiries, Training time-frame is approximately five weeks and hours for training are 8:00 a.m.- 4:30 p.m, High School Diploma / GED OR 10+ years of equivalent working experience, Must be available between the hours of 7:00 a.m. – 7:00 p.m., Monday - Friday, Must be available to work overtime as business needs require, Ability to input data onto Microsoft Excel spreadsheets, Ability to navigate and create emails in Microsoft Outlook, 1+ years of Customer Service experience analyzing and solving customer's problems, OR 1+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties, Ability to multi-task, this includes ability to take incoming phone calls; when not on the phone will process claims, Ability to navigate multiple computer programs while on the phone, Ability to remain focused and productive each day though tasks may be repetitive. Maintain a clean and orderly laboratory. Typical errors would cause moderate delays, inefficiencies and/or expenses. to drive premium growth, Represent dental and vision as a Subject Matter Expert and conduct training as appropriate, Support our Broker Development Strategy and client management initiatives, Partner with Integrated Underwriting to create and drive integrated sales strategies, Support Sales Reps to develop underpenetrated markets through new broker development, core sales, and integrated sales with Core Market Sales Reps and client managers, Achieve personal sales goals through consultation, negotiations and positioning of Unum offerings within profit and product design guidelines, Bachelor's degree preferred or equivalent, 5 + years experience in a sales or service environment preferred, Licensed to solicit insurance in the states within assigned offices/territory (Note for Recruiter: Use Field Comp Policy & Practice document for specific details on licensing requirements), Strong relationship development skills and ability to foster a team environment, Excellent attention to detail and ability to analyze raw data; ability to produce detailed reports and analysis, Strong ability to manage projects including tracking and implementation, High level of organization, implementation/execution and project management skills, Strong understanding of the business and sales via multi-functional experience, Excellent negotiation and collaboration skills, Strong ability to think and implement strategically and tactically, Superior ability to communicate, influence and interact effectively at all levels of the organization, Ability to excel in a highly charged, fast paced environment, handling multiple, often competing priorities, Exhibit a thorough, deep understanding of Unum's products and services, Superior interpersonal, communication and presentation skills with demonstrated ability to present a leadership presence with internal and external partners with strong ability to create relationships and be a team player, Direct the day-to-day field sales responsibilities for Cantel Medical within a specific designated geographic territory, Maintain and grow business within current accounts either directly (B2C) or indirectly (B2B), Penetration of new accounts within geographic territory where Cantel does not have a presence. Familiarity with CDT and ICD codes will be advantageous. All public speaking and media documents must be approved by UHC’s Chief Medical Officer and Community and State’s Chief Medical Officer, Innovation - The Plan Dental Director leads the clinical interface with care providers and UHC network management colleagues in efforts to transform the health system. Hard worker and very self-motivated with great leadership abilities. Job on posts Dental Billing Coordinator - Oral Surgery Specialist in Irving in the field Array, decent salary range, any Generated invoices upon receipt of billing information and tracked collection progress. Excellent organizational skills and attention to detail. Ensuring all payors are processing according to contracts, negotiating all non-par agreements and working with the collection agency on past due accounts. Receiving and assembling the charge forms and performs charge entry into the system. RDH, Communicate with UnitedHealthcare dental directors regarding appeals recommendation rationales and benefit interpretations with escalated cases/issues when own team is involved, Manages and runs appropriate own team meetings to ensure compliance with requirements, i.e. Computer: Meditech, MDEverywhere, Advantx, Synapse, Nextech, IDX, EPIC, MS Outlook, MS Word, MS Excel. Outstanding written and verbal communication skills. If you do not possess the minimum qualifications, exactly as listed above, you must file for equivalency. Examine patients' encounter forms to verify diagnosis codes, and reconcile codes against services rendered. Passionate about data management within the health claims industry. Billing Specialist Resume Examples. Requires limited decision-making. The SF-50 must indicate proof of status (for example, you were a career or a career-conditional employee) and identify your position, title, series, grade, step, tenure, and type of service (Competitive or Excepted), Copy of most recent performance Appraisal, Responses to the questionnaire if you were not able to complete online, If prior military service, copies of all DD 214 forms or proof of service. Providing billing support for client companies through temporary work assignments. Headline : Billing Specialist with 5 years of strong experience in customer service. Experienced in ICD-10 coding, electronic health records, medical billing, and other administrative tasks. Find your next job near you & 1-Click Apply! Great at multi-tasking. Scanned documentation and entered into the database. Summary : A highly motivated Credit, A/R, A/P, Medical Supply Chain, and Billing Specialist professional with a verifiable record spanning 15 plus years. See a sample resume for the position here: Medical Billing Specialist Resume Example. 9. Works with dentists and patients to initiate care, continue existing care, explain treatment plans, and arrange payment and treatment contracts, Prepares and maintains student dentist, resident dentist, and dentist schedules, and assists with scheduling changes, according to patient care form, Registers patients and/or edits registration and dental records. Establish consistent best-in-class practices for health-hazard evaluations, Work with investigators to proactively identify presentation and publication targets, Develop and manage comprehensive clinical education program for all content and geographies, Propose and manage educational content, speakers, administrative, and promotion of company sponsored programs, Provide mentoring and guidance to subordinates and other employees, Monitor and manages all aspects of the clinical affairs budget, Develop necessary departmental processes for all dental platform, Strong working knowledge of dental workflows, Ability to identify, research and analyze general business periodicals, professional journals, technical procedures, or governmental regulations, Ability to apply mathematical operations to such tasks as frequency distribution, determination of test reliability and validity, analysis of variance, correlation techniques, sampling theory, and factor analysis, Provide strong organizational leadership, ability to organize complex work, drive change and instill a culture of execution, in RAQA as well as across the broader organization, Creates an environment that attracts, develops, and retains high quality employees, foster employee engagement, diversity, professional development and high levels of employee satisfaction, Ability to write reports, business correspondence, and procedure manuals, Provide&request information of other departments&external firms, Assist other staff members&providers as needed to ensure orderly&efficient patient care, Explain to patients how they can get various information, e.g., our Information Center, their benefits office, etc, Receive patients during check-in&check-out process, Answer staff questions regarding daily schedule. Worked with both medical and dental claims and following the FQHC guidelines. Promote quality and efficiency in the delivery of review services, Respect the member’s right to privacy, sharing only information relevant to the member’s care and within the framework of applicable laws. Communicating with insurance companies to check the status of medical claims and to ensure timely reimbursement. Receive and ship dental lab cases. Knowledge of accounts receivable. Skills : Microsoft Office, Excell, Power Point. Be in the top 2%. Follows appropriate protocols for materials and equipment handling, Transfers data from handheld scanning devices into a computer, Maintains dispensary in clean and orderly fashion. associate, manager, officer), Knowledge and experience with MetLife internal systems, Experience in creating and maintaining cross-functional partner relationships, Ability to work independently and/or in a team environment, A history of ability to present findings and knowledge to senior management, Creative thinker with strong organizational skills, Strong analytical skills and base of knowledge in the insurance industry, Excel, Word, and PowerPoint knowledge a must, Able to operate efficiently in a fast-paced sales environment, 3D printer or 3D CAD industry experience beyond dental and medical, Please note this position is based out of our Somerville, MA office, Gather and report utilization data to management, Perform initial review of authorization requests to confirm completeness, Perform outreach to provider offices for additional required documentation, Manage and resolve high profile, escalated provider and member complaints, and grievances and appeals, Develop provider correspondence and various reports to present to management, Assist with HEDIS production functions including data entry, calls to provider offices and claims research, Train and serve as the point of contact for Program Coordinator team members on dental utilization activities, Does not conduct any UM review activities that require interpretation of clinical information, Does not choose a set of criteria to use for handling a request for healthcare services or treatments, Review complex claims and estimates for completeness and follow processes for incomplete information on claims, Assess and adjudicate complex claims and estimates, Assessing includes studying dental information and plan provisions, researching, documenting results and communicating verbally and or in writing with the client (member/sponsor) to obtain additional details in order to make an informed decision, Meet production and quality standards set for individuals, teams and department (timeliness, quality and service), Handle external and internal inquiries via written correspondence, e-mails and telephone as required, Participate in departmental projects as required, Work in conjunction with the Dental Consultant on contentious cases, and with other departments/offices within the company in order to meet customer expectations, 1) Learning about basic insurance product development lifecycles, 2) Exposure to project management, UX (user experience), waterfall and agile methodologies, 3) Exposure into how business development interfaces with technology teams to take concepts to implementation and delivery (including how we define our minimum value product and project plans), 4) Learn about healthcare related government programs and regulations, 5) Work on data and analytics and building databases for metric and reporting, 6) Product positioning and marketing interfacing with distribution, 7) Integration of product plan administration platforms (this is both operation lean six sign work exposure and technical IT Visual Basic mapping work), Performs all routine intraoral radiographic procedures, Performs all darkroom technical procedures, Sorts and accurately mounts intraoral films, Ensures patient x-rays are forwarded to chart area, Demonstrates to students and faculty the proper use of x-ray equipment and, Directs patients about appropriate dental care treatment using defined policies and procedures. Applicants claiming preference based on service-connected disability, or based on being the spouse or mother of a disabled or deceased Veteran, must also complete and submit an SF 15, Application for 10-Point Veteran Preference (available at http://www.opm.gov/forms/pdf_fill/SF15.pdf), Associate’s degree or higher from an accredited university, Minimum 2 years of experience with Microsoft Office Suite (PowerPoint, Word, Excel, etc. Followed-up on the past-due invoices and delinquent accounts to reduce the number of unpaid and outstanding balances. Proficient with computer programs such as Microsoft Word, Excel, PowerPoint and eClinicalWorks. Provide scheduling support for RDH schedules, Ensure all dental records are available according to updated printed schedule. Billing Specialists ensure the efficiency of billing operations and besides handling invoices, payments and financial records also perform a variety of administrative and clerical tasks. 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