Insurance Coordinator and Credentialing Specialist-Dentistry Business Office

Job description

Market Range: 06 Hiring Salary: $19.67/Hourly: JOB SUMMARY/ESSENTIAL FUNCTIONS: The Insurance Coordinator and Credentialing Specialist acts as the primary liaison between patients/clients and insurance providers, managing coverage verification, claim submissions, and financial arrangements. This position supports insurance-related revenue functions and ensures compliant billing and collections procedures. This position acts as a subject matter expert related to dental CDT coding and offers guidance and directives to residents, faculty, and staff. - Performs daily insurance eligibility verification. Notifies providers of eligibility restrictions, patient financial obligations, and provides directives on the use of compliant CDT coding. - Performs daily audits on patient health records to ensure financial and coding accuracy, including the presence of complete and compliant chart documentation; initiates corrections and communicates errors to providers and staff; requests additional information or documentation as needed; monitors and notifies providers of missing charges. - Proactively resolves payment issues by anticipating and identifying problems and coordinating appropriate solu...