The On-Site Insurance Verification Specialist is responsible for accurately verifying patients' medical and dental insurance benefits and eligibility prior to their appointments and investigating any missing information that prohibits verification. This role plays a critical part in ensuring a seamless billing process and positive patient experience by identifying coverage, obtaining authorizations requirements, and communicating clearly with both insurance carriers and patients.

KEY RESPONSIBILITIES

Work with third party insurance verification company to ensure patient insurance is verified in a timely manner.
Serve as liaison between insurance providers, staff, and patients regarding eligibility, payments, approvals, etc.
Work with various insurance companies to navigate their processes in an effort to achieve consistent outcomes.
Provide exceptional customer service while interacting with staff, insurance providers, and patients over the phone, in person and via electronic communication.
Communicate with patients, over the phone or in person, to help them understand the cost associated with treatment.
Updating and maintaining patient insurance information within OMSVision.
Adhere to deadlines and prioritize work against the patient schedule.
Other related duties as assigned.

ESSENTIAL QUALIFICATIONS

High School Diploma or equivalent required
Associate's degree or vocational school training preferred
Knowledge of medical and dental terminology and insurance benefits
At least one year of prior experience in Dental Office workflows and Revenue Cycle functions to include Scheduling, Registration, Insurance verification, fee schedules, claim submission, charging/coding requirements, insurance AR follow up and payment posting process
In-depth knowledge of CDT, CPT, AND ICD-10 coding systems.
Ability to stay updated on changes in coding guidelines and reimbursement policies.
Experience with dental practice management software, insurance portals, clearing houses, insurance guidelines, and MS Office (experience with Microsoft excel)
Excellent math and data entry skills
Strong interpersonal and organizational skills to work within a team setting and as an individual contributor
Excellent oral and written communication skills
Problem-solving and critical-thinking abilities

What We Offer:

Core Benefits & Wellness
Comprehensive Medical, Dental & Vision Insurance (Virtual Care included)
Confidential Employee Assistance Program (EAP) for you and your family

Financial Wellness

Competitive Pay with Bonus Opportunities & Annual Merit Increases
401(k) Retirement Plan with Company Match
Health Savings Account (HSA) options with HDHP plans

Life Insurance Protection

Company-Paid Basic Life Insurance
Optional Supplemental Life Coverage for You, Your Spouse & Children

Time Away & Life Balance

Generous Paid Vacation (starting at 2 weeks!) + 6 Paid Holidays
Short- and Long-Term Disability Coverage
Supportive Leave of Absence Options

PI6-

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Position: Insurance Verification Coordinator - Oral Surgery (on-site, not hybrid or remote)

Location: Center for Oral & Maxillofacial Surgery Jackson, NJ

Center For Oral and Maxillofacial Surgery

ROLE OVERVIEW

KEY RESPONSIBILITIES

Work with third party insurance verification company to ensure patient insurance is verified in a timely manner.
Serve as liaison between insurance providers, staff, and patients regarding eligibility, payments, approvals, etc.
Work with various insurance companies to navigate their processes in an effort to achieve consistent outcomes.
Provide exceptional customer service while interacting with staff, insurance providers, and patients over the phone, in person and via electronic communication.
Communicate with patients, over the phone or in person, to help them understand the cost associated with treatment.
Updating and maintaining patient insurance information within OMSVision.
Adhere to deadlines and prioritize work against the patient schedule.
Other related duties as assigned.

ESSENTIAL QUALIFICATIONS

High School Diploma or equivalent required
Associate's degree or vocational school training preferred
Knowledge of medical and dental terminology and insurance benefits
At least one year of prior experience in Dental Office workflows and Revenue Cycle functions to include Scheduling, Registration, Insurance verification, fee schedules, claim submission, charging/coding requirements, insurance AR follow up and payment posting process
In-depth knowledge of CDT, CPT, AND ICD-10 coding systems.
Ability to stay updated on changes in coding guidelines and reimbursement policies.
Experience with dental practice management software, insurance portals, clearing houses, insurance guidelines, and MS Office (experience with Microsoft excel)
Excellent math and data entry skills
Strong interpersonal and organizational skills to work within a team setting and as an individual contributor
Excellent oral and written communication skills
Problem-solving and critical-thinking abilities

What We Offer: