Patient Financial Coordinator - School of Dental Medicine
Overview
Tufts University School of Dental Medicine (TUSDM) offers one of the most forward-looking educational environments in dental medicine in the country. Revenue Cycle Operations (RCO) supports patient care services revenue cycle management team, along with other members of the Finance and Administration team, supporting the financial management and administration of the dental school.
About the Role
This position reports directly to the Patient Financial Administrator and works closely with school clinics it supports: Dental Faculty Practice, Craniofacial Pain and Sleep Center, Oral Medicine, Oral and Maxillofacial Pathology and Tufts Dental Facilities, the Pre-doctoral (students), Postgraduate (residents) Specialty clinical treatment areas, which includes: Endodontics, Orthodontics, Periodontics, Prosthodontics, Pedodontics, Oral and Maxillofacial Surgery, AEGD and Geriatric Dentistry.
What You'll Do
- Ensures timely and accurate entry of patient demographics, insurance information and self-pay financial/collection aspects to enhance and secure frontend collections.
- Ensures patients understand their financial responsibilities by reviewing/reconciling accounts and explaining/answering any/all financially based treatment inquiries.
- Follows up with insurances, students, residents, patients and internal teams.
- Documents/updates all actions/contact in patient accounts.
- Sets up and follows up on all pre-treatment forms.
- Ensures patients accept, sign and fully understand their financial responsibilities to pay their deductibles, co-insurances, co-pays and non-covered services fees/charges in full at time of service.
- Answers eligibility and benefit coverage inquiries.
- Communicates with residents, practice/clinic administration, healthcare providers and insurances to ensure required standards are met and compliant and when applicable, makes recommendations for resolutions.
Basic Requirements
- Knowledge and experience typically acquired by: Bachelor’s Degree/Associate’s Degree preferred OR High School degree/GED and 1-3 years of proven finance related experience or compliant dental/medical healthcare financial, treatment planning, claims or financial 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.
- 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 3+ 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.
Special Work Schedule Requirements
This is an onsite position Monday – Friday: FT 37.5 hours 8:30am to 5:00pm and evening clinic rotation 4:30pm to 7:00pm. Pay Range Minimum $25.20, Midpoint $30.10, Maximum $34.90 Salary is based on related experience, expertise, and internal equity; generally, new hires can expect pay between the minimum and midpoint of the range.