A career at Community Health Centers offers a unique opportunity to join a team that makes a real impact in our community every day, by improving individuals' health while enhancing their quality of life.

Top Reasons to Work at Community Health Centers

• No weekends for the majority of our centers, 10 Paid Holidays and early Fridays
• A great benefits package that includes healthcare coverage, paid time off, paid holidays, retirement plan, and more.
• Competitive compensation with advancement opportunities and tuition / training reimbursement.
• Awarded "Best and Brightest Companies to Work for in the Nation" for five consecutive years.
• Awarded "Top 100 Workplaces for Growing Families" by Orlando Sentinel.
• Modernized and attractive health centers, that patients love.

Job Summary:

The Dental Insurance Verification Specialist is responsible for providing first class customer service and ensures that all necessary data is completed properly, accurately and thoroughly. Responsible for accurately verifying patient dental insurance information enabling CHC to receive maximum reimbursement and for reviewing, updating and insuring the accuracy of the patient demographic information.

Primary Responsibilities and Specific Duties:

• Verify insurance information and eligibility on all scheduled patients.
• Determine benefit coverage of scheduled services, deductible, coinsurance and any co-pay amounts.
• Verify if deductibles have been met.
• Ensure that a copy of the current proof of eligibility is scanned into patient's chart.
• Run Medicaid eligibility on all scheduled self-pay patients.
• Review demographic information on scheduled patients.
• Set any alerts necessary to notify the need to obtain any missing or incorrect demographic information.
• Ensure that a copy of the front and back of the current insurance card is in the patient's chart.
• Notify front desk team members when it's necessary to obtain insurance authorization.
• Notify the managed care department and the front desk team members when an insured patient is scheduled with a non-credentialed provider.
• Assist with routine office duties as needed.
• Maintain patient confidentiality at all times in accordance with HIPAA regulations.
• Perform other duties as assigned.

Qualifications:

Education:

• High school diploma or equivalent is required; some business classes, vocational/technical training preferred.

Experience:

• At least 2 years previous experience in a medical office setting and knowledge of E-Clinical software or equivalent is preferred.
• 2 years of experience with determining health insurance coverage and benefit information for all insurance payers including but not limited to Dental Medicaid, Dental Medicaid HMOs and commercial dental insurance plans preferred.
• Must have the ability to successfully utilize all resources available for verification of these benefits including but not limited to e-Clinical works, insurance websites/ portals, HP and/or verification via phone.

Certification/Licensure:

• None

Special skills:

• Skilled in creating an atmosphere conducive to customer friendly relations by providing memorable, courteous, friendly and prompt customer service.
• Bilingual (English/Spanish) communications skills helpful.
• Ability to show courtesy and respect to all customers.
• Ability to be a team player; ability to effectively handle multiple tasks in a fast-paced environment.
• Ability to identify problem issues and determine the appropriate course of action/redirection within department guidelines required to resolve issues.
• Ability to resolve issues of conflict in a tactful and professional manner and to effectively diffuse irate callers.
• Typing and computer skills.

Other requirements:

• Able to work flexible hours as needed.