Support Services Specialist - Dental Patient Business Office

As part of the application process, please include and attach:

·         cover letter,

·         resume, and

·         3 names of professional reference. 

REQUIRES:

• Bachelor’s degree or an equivalent combination of education and relevant experience is required.

• 6 months – 1 year relevant experience in a medical/dental business office with financial counseling, cash collection, knowledge of insurance claim processing requirements/adjudication experience and strong customer service skills including the following skillsets:

KNOWLEDGE OF HEALTH AND/OR DENTAL CARE REIMBURSEMENT – Basic Experience

Knowledge of the full spectrum of activities, practices, tools, and considerations for managing health and/or dental care reimbursement processes.

• Can identify the major activities of the patient revenue management function and explain to customer/patient.
• Understands basic principles, techniques and terminology of claims processing and reimbursement.
• Can identify major types of coverage, associated claims and payment processes.
• Is aware of the payer's claim settlement practices.

 

KNOWLEDGE OF HEALTH AND/OR DENTAL CLAIMS – Basic Experience

 

Knowledge of the full spectrum of activities, practices, tools, and considerations for managing claims processing.

• Can identify the major activities of the claims function.
• Understands basic principles, techniques and terminology of dental and medical claims processing.
• Can identify major types of coverage and associated claims.
• Is aware of the company's claim settlement philosophy.

 

HIPAA – Knowledge and understanding of the Health Insurance Portability and Accountability Act – Working Experience

 

Knowledge and understanding of the Health Insurance Portability and Accountability Act.

• Describes the implications of the law to own function.
• Participates in implementing adherence to specific aspect of this law.
• Describes major HIPAA-related challenges to the organization.
• Identifies relevant procedures that demonstrate HIPAA adherence.
• Describes types of plan conversions in compliance with HIPAA guidelines.