Insurance Services Manager
for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections where there is real specific content. We must not repeat job title. No Job ID etc. Remove boilerplate. Preserve all substantive info.
We need to parse the posting.
Primary Purpose paragraph: describes role. Could be "About the role". Use About the role
then
with that paragraph. Essential Functions: list of duties. Use
Responsibilities
then- each bullet.
Minimum Qualifications: includes Knowledge of, Ability to, Experience, Education, Working Conditions. Could be split into Requirements (knowledge/experience/education) and Qualifications (preferred). But we have both Minimum Qualifications and Preferred Qualifications. Also there is a separate "Work Schedule" line.
We need sections: Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We'll include only those with content.
We have content for Responsibilities (Essential Functions). We have content for Requirements (Minimum Qualifications). We have content for Qualifications (Preferred Qualifications). Skills: maybe we can extract skills from Knowledge/Ability sections? But we could put skills under Qualifications or Requirements. The instruction: Use sections only when posting has real specific content for it. We have skills mentioned: Knowledge of dental practice management, etc., Ability to communicate effectively, etc. Those could go under Skills. But we also have Requirements (knowledge/experience/education). Might be better to put Knowledge and Ability under Skills, and Experience/Education under Requirements. However the instruction says we can choose sections; we need to preserve all substantive info. We'll try to map:
- About the role: Primary Purpose paragraph.
- Responsibilities: Essential Functions list.
- Requirements: Minimum Qualifications (Experience, Education, Working Conditions). Also maybe include "Knowledge of:" as part of Requirements? But knowledge could be considered Skills. Let's decide: Requirements = Experience, Education, Working Conditions. We'll include bullet list.
- Qualifications: Preferred Qualifications (Ability to..., Experience..., Other...). Could also include some of the knowledge/abilities that are preferred? But we already have Ability to... in Minimum Qualifications as well. Actually Minimum Qualifications includes Ability to: Communicate effectively..., Produce professional..., Analyze..., Ability to meet benchmarks..., Work independently..., Provide effective leadership..., Maintain confidentiality..., Manage multiple projects... Those are abilities. Those could be considered Skills. But we also have Preferred Qualifications includes Ability to: Communicate effectively..., Provide effective leadership..., Demonstrate professional judgment..., Experience..., Bilingual skills helpful, Other: Experience and sensitivity..., Demonstrated experience..., Ability to engage...
We could combine abilities under Skills section. Let's create Skills section with the abilities listed (both minimum and preferred). But we must not duplicate. We'll extract unique ability statements.
List of abilities from Minimum Qualifications:
- Communicate effectively with a diverse population of patients, students, staff, faculty and administration.
- Produce professional and concise reports and written correspondence.
- Analyze financial reports and make appropriate recommendations.
- Ability to meet benchmarks in a fast-pace high-volume setting
- Work independently with minimal supervision.
- Provide effective leadership, training, and supervision.
- Maintain confidentiality of information.
- Manage multiple projects and consistently meet deadlines.
From Preferred Qualifications:
- Ability to: Communicate effectively with a diverse population of patients, students, staff, faculty and administration. (duplicate)
- Provide effective leadership, training, and supervision. (duplicate)
- Demonstrate professional judgment in all situations.
- Experience: Experience in dental group practice or dental school highly desirable.
- Bilingual skills helpful.
- Other: Experience and sensitivity in working with people of diverse backgrounds and cultures.
- Demonstrated experience in advancing social justice, equity, and inclusion in a university setting.
- Ability to engage and integrate culturally responsive practices and knowledge in their work.
We'll deduplicate.
Skills section could contain bullet list of abilities (communication, reporting, analysis, benchmarks, independent work, leadership, confidentiality, project management, professional judgment, bilingual skills, cultural sensitivity, social justice advancement, culturally responsive practices). Also maybe knowledge items: Dental practice management, Dental/Medical insurance credentialing, etc. Those are knowledge, could also be under Skills. But we might put knowledge under Requirements? Hmm.
Better to follow typical resume: Requirements = knowledge, experience, education. Qualifications = preferred qualifications. Skills = abilities. But we have overlapping.
Given instruction: Prefer a few substantive sections over many thin ones. So we could combine Requirements and Qualifications into one? But we need to follow headings list; we can omit sections if no content. We could have About the role, Responsibilities, Requirements (includes knowledge, experience, education, working conditions), Skills (abilities), Schedule (full-time). Benefits and Pay not present, so omit.
Let's extract:
About the role: Primary Purpose paragraph.
Responsibilities: Essential Functions list (multiple sentences). We'll break into bullet points each sentence or clause.
Requirements: Minimum Qualifications: Knowledge of: list; Experience: Minimum of five years dental insurance claims processing experience; Minimum five years increasingly responsible management experience, preferably in a dental or medical office; Minimum 5 years experience in Revenue Cycle Management; Education: Bachelor’s degree in related field; Working Conditions: Position is full-time, 8 hours per day, 5 days per week.
But note Working Conditions duplicates with Schedule later. We'll handle Schedule separately.
Skills: Ability to: list from Minimum Qualifications and Preferred Qualifications (deduplicated). Also maybe include knowledge items? But we already put knowledge under Requirements. We'll keep abilities under Skills.
Schedule: Work Schedule line: The position is full-time, 8 hours per day, 5 days per week. (duplicate). We'll include Schedule section with that sentence.
We must not repeat job title. No extra.
Now produce HTML:
About the role
Under the general supervision of the Director of Patient Financial & Revenue Cycle (DPFRC) manages the business activities of the main clinic, designated clinic programs and supervises the insurance processing team to support patient access, claims management, reimbursement, and collections functions of the department. Responsible for monitoring and managing staff adherence to national and payer specific claims processing regulations the accurate, timely and complete processing of insurance claims and posting of payment in compliance with university protocols.
But note the original paragraph: "Primary Purpose Under the general supervision of the Director of Patient Financial & Revenue Cycle ( DPFRC ) manages the business activities of the main clinic, designated clinic programs and supervises the insurance processing team to support patient access, claims management, reimbursement, and collections functions of the department. Responsible for monitoring and managing staff adherence to national and payer specific claims processing regulations the accurate, timely and complete processing of insurance claims and posting of payment in compliance with university protocols." There's a missing word after regulations? It says "regulations the accurate". We'll preserve as is. Now Responsibilities: list each essential function. Essential Functions sentences: - Manage and support operations related to the evaluation, processing, and handling of claims; assure that departmental, federal, and state specific standards are maintained and that claims are handled accurately and timely; plan future courses of action and management of the overall insurance/posting activities to ensure effective and efficient operations. - Manage accuracy and keep up to date all insurance set-up information in AxiUm and Dolphin applications including but not limited to insurance companies, benefit plans, coverage templates, contract plans, billing provider information. - Ensure accurate posting of all charges and patient payments daily; review/advise on accuracy and completeness of procedure codes, fee schedules and treatment notes. - Review, monitor, and analyze claim activity reports for the Revenue cycle staff to include claim submission, production, billing, and accounts receivable; ensure insurance billers are monitoring and managing claim productivity. - Reconcile and resolve financial issues with patients and resolve insurance grievances between insurance companies and patients. - In collaboration with the DPFRC, develop and manage business policy/procedures for clinic operations; provide the Business Office with reports and reconciliations as necessary. - In collaboration with the DPFRC manage all contracts and communications with Delta and any other approved contract providers; ensure timely annual filing of fees; create and maintain current documentation regarding policies for processing, billing, and collecting insurance. - Set daily expectations; monitor performance to ensure that staff are meeting and/or exceeding established performance goals (production and quality). - Oversee and manage clinic finance liaison, group practice patient care and insurance coordinators as part of the financial team to achieve optimal revenue capture through best practices and efficient forward-thinking use of technology and resources. - Support the DPFRC and Clinical Financial Operations Manager to train students, faculty, and staff on proper protocols and procedures related to insurance. - Act as a liaison between the School of Dentistry, insurance providers, and patients regarding status and eligibility for coverage; manage and resolve patient billing inquiries. - Provide monthly summary reports to the Business Office; review clinic production and expenses; advise and make recommendations to ensure achievement of budget goals. - Actively seek out and drive process improvement, automation, and cost-efficient initiatives related to clinic business activities. - Perform all other duties as assigned by the Director of Patient Financial & Revenue Cycle. We'll make each a - .
Now Requirements: Knowledge of list, Experience, Education, Working Conditions.
Knowledge of: Dental practice management. Dental/Medical insurance credentialing Demonstrated ability to manage time effectively, balance multiple priorities, and drive tasks and projects to successful completion. Proven track record of navigating complex and urgent issues with clarity and efficiency. Thorough knowledge of the practices, procedures, and core concepts within the healthcare revenue cycle and its component operations, including billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash management. Dental terminology/treatment and insurance procedures. Electronic dental billing systems. Accounting/billing procedures. Principles of management and supervision. Principles of business communication, including interpersonal interactions and letter and report writing. Microsoft Excel, Word, and Access.
That's a long sentence; we could break into bullet points for readability but not required. We'll keep as
maybe. Experience: Minimum of five years dental insurance claims processing experience. Minimum five years increasingly responsible management experience, preferably in a dental or medical office. Minimum 5 years experience in Revenue Cycle Management. Education: Bachelor’s degree in related field. Working Conditions: Position is full-time, 8 hours per day, 5 days per week. But note Working Conditions duplicates Schedule; we might put Working Conditions under Requirements and Schedule separate. However we have both; we can keep Working Conditions as part of Requirements (makes sense) and Schedule as separate section with same content? That would duplicate. Better to put Working Conditions under Requirements and not have separate Schedule, but we have a Work Schedule line later identical. We could keep Schedule section with that line and omit Working Conditions from Requirements. But Requirements expects experience/education; we could still include Working Conditions under Requirements but then Schedule duplicate. To avoid duplication, we can put Working Conditions under Requirements and not have Schedule section (since it's same). However the instruction says include a section ONLY when posting has real specific content for it. We have content for schedule (the line). If we put it under Requirements, we still have schedule content represented. But we might still need a Schedule section if we want to follow the heading list. The instruction: Prefer a few substantive sections over many thin ones. So we could combine Working Conditions into Requirements and not have a separate Schedule section. That reduces sections. We'll do that. Thus Requirements will include Knowledge, Experience, Education, Working Conditions. Now Skills: Abilities list. Let's compile abilities (deduplicated): - Communicate effectively with a diverse population of patients, students, staff, faculty and administration. - Produce professional and concise reports and written correspondence. - Analyze financial reports and make appropriate recommendations. - Ability to meet benchmarks in a fast-pace high-volume setting - Work independently with minimal supervision. - Provide effective leadership, training, and supervision. - Maintain confidentiality of information. - Manage multiple projects and consistently meet deadlines. - Demonstrate professional judgment in all situations. - Bilingual skills helpful. - Experience and sensitivity in working with people of diverse backgrounds and cultures. - Demonstrated experience in advancing social justice,