This is a unique opportunity for a medical and dental insurance job with the University of Minnesota!  Our School of Dentistry is recruiting for a Medical and Dental Insurance Follow Up Specialist.  The bulk of the work will be with dental insurance claims with some medical insurance claims included, too.

The University of Minnesota offers a comprehensive benefits package including:

• Competitive wages, and paid holidays, vacation, and sick leave

• Low cost medical, dental, and pharmacy plans

• Health care and dependent daycare flexible spending accounts

• Excellent retirement plans with employer match

• Disability and employer paid life insurance

• Wellbeing program with reduced insurance premiums

• Tuition reimbursement opportunities covering 75%-100% of eligible tuition

• Student loan forgiveness opportunity

• Opportunities for growth and promotion

• Employee Assistance Program

For more information about benefits, download our benefits brochure.

The main focus of this Dental Insurance Follow Up Specialist is to obtain maximum and appropriate reimbursement for all claims from our patients' insurance companies. This position is responsible for:

• preparing and submitting timely and accurate insurance claims to third party payers,
• carrying out the rules of the payer/insurance company,
• ensuring we meet regulatory requirements, and
• verifying payments and adjustments are appropriately applied to our patients' accounts based on government, contract or other regulations or agreements.

The position is responsible for appropriate follow up on all medical and dental accounts pending payments from all third party payers.

The Dental Insurance Follow Up Specialist is a member of the Patient Accounting team. We rely on each other to make the strongest team possible. Our team supports the mission of the School of Dentistry, which is to advance health through scientific discovery, innovative education, and the highest-quality care for all communities.

Position Responsibilities

Account Management and Problem Solving – 35%

• Responsible for submission of timely and accurate medical and dental claims to primary, secondary, and tertiary insurances for both electronic and paper submissions.
• Ensures that medical and dental claims have the appropriate information on them for submission to insurance carriers, by reviewing errors or other prebilling insurance reports/worklists.
• Contacts patients for additional information in order to have claims processed and paid in a timely manner as needed.
• Analyzes and reviews claims to ensure that payer specific regulation and requirements are met.
• Generates telephone calls to insurance carriers or accesses insurance carrier’s website to follow up on claims using worklists and reports generated for this purpose.
• Evaluates and investigates appropriate action to be taken in order to reconcile patient accounts receivable.
• Follows up on all unpaid claims through telephone contact or written correspondence to ensure that no account reaches no more than 180 days old from the date of service and is still unpaid by insurance.
• Advises Supervisor of any billing errors, third party payer trends, denials or payment fluctuations to ensure proper handling and escalation of issue(s) when necessary.
• Other duties as assigned

Auditing – 65%

• Performs regular and consistent follow up, denial management, correction and/or reprocessing claims as necessary to ensure timely resolution.
• Utilizes all resources available, including electronic inquiries to verify eligibility and claim status.
• Audits accounts by verifying that reimbursement amounts are appropriate.
• Coordinates refunds, if appropriate.
• Coordinates adjustments on patient accounts when necessary.
• Submits claims appeals or resubmissions.
• Competes accurate payment posting of third party payments on patient accounts.
• Moves balances from insurance responsibility to patient responsibility when appropriate.
• Reviews and resolves credit balances.
• Other duties as assigned

The pay range for this position is $22.32 - 24.63.

All required qualifications must be documented on application materials

Required Qualifications   * * You must document all of the required qualifications on your resume and/or cover letter * *

• High School Diploma or GED
• Four years of general accounts or office experience. You can substiute training for some of the years of experience.
• Knowledge of personal computers, hardware and basic software programs including email, word processing and spreadsheets.
• Ability to accept and adapt to change as the medical/dental industry changes with new legislation, research, and technology.
• Advanced oral and written communication skills.
• Ability to establish and maintain collaborative relationships.
• Work effectively in a team environment.
• Work independently with minimal supervision.
• Respond calmly and effectively to sensitive and difficult situations.
• Concentrate and pay close attention to details.
• Utilize time management concepts and maximize time effectively.
• Maintain flexibility to adapt to a variety of work load assignments.
• Ability to analyze accounts and compare to contracts, agreements and government regulations.
• Ability to make independent decisions that will not jeopardize the collectability or dollar amount received for services rendered.
• Experience with constructing messages that are clear and respectful in explaining and requesting work on an issue.
• Ability to attend and participate in department and team staff meetings and other meetings as directed.
• Ability to participate in cross training and training within the department, including mentoring others.

Preferred Qualifications

• Knowledge of third party and governmental billing requirements and contracts.
• Healthcare knowledge and medical terminology.
• Interpret policies and procedures, identify non-compliance and take appropriate action.