The insurance clerk is responsible for assisting patients with the processing of dental insurance claims and management of relationships with insurance carriers. Contacts insurance companies and patients regarding coverage determinations and outstanding balances. Researches and resolves insurance billing issues. Sets up any financial arrangements and collects payments from patients and insurance companies. Manages outstanding insurance claims. Works with Practice Manager to ensure dental team complies with established collection procedures. Ensures integrity of daily deposits.
Review, interpret, abstract clinical information from medical records for the purposes of reimbursement, research and compliance utilizing established coding principles and protocols.
Expert in medical record review to abstract information required to support accurate outpatient and dental coding.
Expert in assigning accurate service codes for diagnosis and procedures performed in dental setting.
Responsible for claims submission, rejection, re-submission and all sorts of insurance documentations.
Adhere to DOH Claims and Adjudication rules and coding guidelines.
Obtain approval for medical/dental procedures.
Inform patients of dental office procedures and policy.
Enter all relevant patient information into data system.
Maintain and manage patient records in compliance with privacy and security regulations.
Complete and file insurance forms and dental billing records.
Translate dental services into proper billable codes.
Communicate with dental supply vendors.
Handle test results including x-rays and dispatch lab work appropriately.
Office duties including document filing, scanning, and creation.
Organize referrals to other medical specialists.
Communicate with insurance companies regarding eligibility, payments, approvals, reconciliation and other requirements
Explain the coverage of medical benefits to patients when required.
Act as a resource for billing, pre-authorization, reimbursement issues and outpatient/dental
Ensure high level of patient data confidentiality.
Check codes for each claim to avoid any errors to minimize rejections.
Follow policies and procedures, completes administrative tasks accurately and on time.
Job Type: Full-time
Ability to commute/relocate:
* Abu Dhabi: Reliably commute or planning to relocate before starting work (Required)
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