The University of Tennessee Health Science Center · 2 months ago
Dental Claims Coordinator- Special Needs
The University of Tennessee Health Science Center is dedicated to providing quality health care services, and they are seeking a Dental Claims Coordinator for the Special Needs Clinic. This role involves overseeing dental insurance billing, claims processing, and provider credentialing for patients with special health care needs, ensuring accurate and timely claims and pre-authorizations.
Health CareHigher EducationMedical
Responsibilities
Performs daily verification of patient insurance eligibility, focusing on coverage for special-needs-specific services such as anesthesia, behavioral support, or hospital procedures
Audits patient records for accurate financial and CDT coding documentation; initiates corrections and communicates with providers to ensure compliant submissions
Prepares and submits insurance claims and pre-authorizations (electronic and paper) and monitors all unsubmitted or denied claims
Identifies and resolves payment issues proactively, coordinating with families, caregivers, and payers to expedite approvals for medically necessary services
Guides patients, caregivers, and social service advocates through the insurance and reimbursement process for complex treatment plans
Processes patient reimbursement requests, ensuring compliance with documentation and coding requirements
Supports scheduling and billing processes for lengthy or hospital-based appointments unique to special-needs dentistry
Completes and maintains provider credentialing with commercial and government payers
Performs other duties as assigned
Qualification
Required
High School Diploma or GED. (TRANSCRIPT REQUIRED)
Four (4) years of public and private dental claims processing; OR Associate's Degree and two (2) years of public and private dental claims processing
Ability to organize and prioritize work to meet competing deadlines
Knowledge of special needs patient population guidelines, regulations, policy, and procedures
Knowledge of public and private dental insurance billing policies
Ability to manage multiple job priorities and tasks efficiently, effectively, and accurately while demonstrating close attention to detail
Expert knowledge of dental terminology, treatment planning, CDT coding, accounts receivable and collections processes
Ability to communicate professionally and courteously with faculty, residents, students, patients and staff
Ability to identify, research and/or resolve financial conflicts with insurance companies and patient accounts
Company
The University of Tennessee Health Science Center
Established in 1911, The University of Tennessee Health Science Center aims to improve human health through education, research, clinical care and public service.
H1B Sponsorship
The University of Tennessee Health Science Center has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (100)
2024 (91)
2023 (86)
2022 (74)
2021 (69)
2020 (82)
Funding
Current Stage
Late StageTotal Funding
$10.91MKey Investors
National Cancer InstituteHealth Resources and Services Administration
2022-08-26Grant· $3.16M
2022-07-26Grant· $3.9M
2022-03-31Grant· $2.05M
Leadership Team
Recent News
2025-10-02
Genetic Engineering News
2025-09-28
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