What are the responsibilities and job description for the Dental Insurance Coordinator position at Village Family Dental?
About Knowles Smith and Associates
Founded in 1985 by Dr. Michael Knowles in St. Pauls, North Carolina, our practice began as a small, community-focused dental office. Committed to enhancing dental care for our rural community, we pioneered the concept of the "Family Dental Group Practice," centralizing care under one roof by bringing in specialists directly to our office. This model has allowed us to provide comprehensive treatment without the need to refer patients to distant locations, ensuring better continuity of care.
In 1992, Dr. Terrance Smith, a prosthodontist, joined the practice, leading to our name change to Knowles, Smith and Associates, PA, though we operate as Village Family Dental. Over the years, our practice expanded, opening our second office in Hope Mills in 1993, and our third in Fayetteville in 1999. Dr. Faith McGibbon, a pediatric dentist, joined in 1994 and became a partner in 2002.
Today, our Partnership Group includes Dr. Brad Ryan, Dr. Grant Wiles, Dr. Mit Patel, Dr. Jordan Olsen, and Dr. Anuj James, who serves as Managing Partner. In 2002, Southeastern Dental Specialists and Dental Health Associates became part of our family, and in 2018, we introduced Village Kids to our growing network. Most recently, we welcomed Cape Fear Oral Surgery in Fayetteville and Warr Pediatric Dental Associates in High Point, further expanding our reach and commitment to exceptional dental care for families in North Carolina.
Job Description:
VILLAGE FAMILY DENTAL IS HIRING for an In-Office Dental Insurance Coordinator at our Hope Mills, NC office!
Job Purpose:
Utilize and apply a broad working knowledge of insurance company policies and dental procedures to aid and finalize the insurance collection process.
Duties:
- Operates multi-line phones for patient assistance with insurance.
- Inputs complete breakdown of dental benefits with history obtained from carrier.
- Confirms procedures that require prior approval have been approved prior to appointment.
- Processes and sends electronic and paper claims and pre-authorizations with required documentation.
- Assists team members and patients with treatment plans and insurance inquiries.
- Locate, interpret, and apply dental explanation of benefits to include denials and adjustments.
- Utilizes reports to track and follow up on past due, unsubmitted, unpaid and denied claims.
- Researches accounts for insurance overpayments, adjustments, or other insurance needs
- Processes insurance payments/checks received in office according to current policies
- Applying and balancing of insurance funds received (If applicable).
- Performs cross-trained duties to help in other departments.
- Opens/closes/cleans the office as required by office.
- Multi-tasks all duties above efficiently and in organized manner in fast-paced, team-oriented environment.
Skills/Qualifications:
- High school diploma or equivalent
- Insurance experience is strongly preferred.
- Ability to work independently, multi-task and prioritize daily duties.
- Strong organizational, written and oral communication skills.
- Ability to quickly learn insurance processes of verifying, filing claims, follow-up, and dental terminology and procedures.
- Windows-based software, Microsoft Office and other basic computer skills.
Physical Demands:
Employees must meet the physical demands described here needed to perform the essential functions of this job successfully. The practice may make reasonable accommodations to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required:
- May be required to lift up to 10 lbs.
- Sedentary position: may be required to sit for long periods.
- Vision: close vision, depth perception, and ability to adjust focus.
- Hearing: Ability to satisfactorily communicate with patients, the Doctor, and other staff members to ensure verbal communication is clearly understood, or a satisfactorily-equivalent communication method.
- Finger dexterity is needed to access, enter, and retrieve data using a computer keyboard or operate equipment.
- Exposure to moderate noise levels.
- Exposure to hectic, fast-paced, high-anxiety environments.
Knowles, Smith & Associates, LLP and its subsidiaries are committed to being an Equal Opportunity Employer and prohibits any form of discrimination or harassment. All applicants are considered for employment opportunities without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status, genetics, or any other characteristic protected by federal, state, or local laws.