Billing Claims Coordinator

Job Description

Job Description

Description:

The ADA Forsyth Institute was founded in 1910 as the Forsyth Dental Infirmary for Children (later, the Forsyth Institute), to provide dental care to the disadvantaged children of Boston. While continuing to serve children in need, yet recognizing the ultimate goal is to prevent dental disease, the Institute in 1915 began to focus on scientific research and is today the world’s leader in oral health research. In October of 2023, the Institute joined with the American Dental Association to form the ADA Forsyth Institute, a 501(c)(3) entity dedicated to improving people’s oral and overall health and powering the profession of dentistry through cutting-edge basic research, creative translational science, innovative clinical technologies, and global public health outreach. Consistent with the Institute’s founding mission, the ADA ForsythKids mobile dental program continues to serve children in need.

The Billing Claims Coordinator will be responsible for working with insurance companies to verify patients’ benefits, as well as calculating and collecting outstanding payments from patients. This person should be proficient in using the dental practice management software to update each patient’s file, run and monitor weekly and monthly reports to verify insurance payments received, and upload completed insurance forms into patients’ electronic files. The Billing Claims Coordinator will work closely with patients, explain their benefits to them, communicate any insurance concerns, and manage any insurance disputes. A Billing Claims Coordinator should achieve excellent customer service and share a professional relationship with insurance companies to ensure success in balancing patient benefits with insurance payments. This position can be hybrid or fully remote after training period.

Responsibilities:

• Verifying the patient’s health insurance benefits.
• Explaining insurance benefits to patients.
• Entering data using dental practice management software.
• Generating reports for all activities.
• Posting payments made by patients.
• Following up on non-paid insurance claims.
• Managing late payments and overdue accounts.
• Processing insurance payments and refunds.
• Uploading completed insurance verification forms.
• Monitoring weekly, monthly and quarterly reports to confirm payment from clients and insurance companies.

Requirements:

• Associate’s degree in healthcare administration, business, or related field.
• A minimum of 2 years of experience in dental billing and claims processing is required.
• Excellent oral and written communication skills.
• Experience in dental practice management software. Dentrix experience is a plus.
• Proficient in Microsoft Office products (MS Word, Excel, Outlook).
• Knowledge of dental procedures and insurance billing codes.