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Coast Dental · 1 week ago

Fee Schedule Administrator

Tampa, FL

Full-time

Onsite

New Grad, Entry Level

Coast Dental is a dental service organization that focuses on providing quality dental care. The Fee Schedule Administrator is responsible for organizing and maintaining insurance fee schedules and ensuring accurate billing practices within the Practice Management System.

CRMDentalHealth CareInformation TechnologyMedicalService Industry

Responsibilities

Ensure that company-wide insurance receivables are maximized through proper fee schedule interpretation

Identify and load insurance fee schedule limitations and exclusions in the Practice Management System for proper billing purposes

Maintain all accepted insurances plans, archive old, discontinued or unused insurance plans

Accurately load and maintain all fee schedules and plan alerts in the Practice Management System, ensuring fees are current and active for relevant effective dates. Distribute all insurance plan and fee schedule updates to the dental offices in a timely manner. Archive deactivated fee schedules. Coast Dental strives for 100% accuracy, but 98% is the minimum standard accepted

Ensure fees are being paid at the negotiated rate

Provide support to dental practices, responding to office inquiries regarding fees, insurance filing and portal access

Create and maintain all insurance CDT procedures, explosion, and product codes in our Practice Management System. Create promotional codes, as requested by the Senior Leadership Team

Work closely with the practices in protecting the assets of Coast Dental by properly training the offices when errors are made and how to correct them. Work to eliminate linkage errors through education and training

Utilize various communication methods, both on and offline, to contact insurance carriers regarding portal access issues and portal functionality issues

Reset passwords and manage user accounts for insurance carrier websites per office requests

Read and analyze explanation of benefits and make proper adjustments according to Coast Dental processing criteria

Perform other duties, as assigned

Qualification

Insurance fee schedule managementMedical/dental billingCodingMicrosoft Excel proficiencyData organizationProfessionalismOral communicationWritten communicationProblem solvingTeamwork

Required

Ability to organize large amounts of data including plan documents, directories, spreadsheets, and files

Proficient in Microsoft Office, with an emphasis on MS Excel and the ability to use formulas such as lookups, conditional statements, and data modeling

Demonstrates attention to detail, multi-task, ability to handle sensitive information and main strict confidentiality

Oral Communication- Listens and gets clarification; Responds well to questions. Maintains constant and open communication with all parties involved in each issue

Written Communication- Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Able to read and interpret written information

Problem Solving- Identifies problems in a timely manner; Gathers and analyzes information skillfully

Teamwork- Balances team and individual responsibility; Contributes to building a positive team spirit

Professionalism- Accepts responsibility for own actions; Follows through on commitments

Detailed experience with insurance company pricing, underwriting or medical/dental billing and coding