Performs business functions to support the College of Dentistry Revenue Cycle; duties include claim submission and Accounts Receivable management, cash collection, financial counseling and insurance verification. For a full job description, please send an e-mail to COD-Requisitions@iowa.uiowa.edu.
Provide Support Services to Clinical and Non-clinical Departments
Provides financial counseling to students and patients regarding estimated Insurance coverage and resulting patient out of pocket amounts. Requests down payments according to College of Dentistry policy. Advises provider of available benefit to maximize insurance when treatment stretches over the benefit year.
Approves student lab orders if required down payment (as per COD requirements) has been secured; documents same in PAS and posts payment as pre-payment toward applicable planned treatment.
Communicate/Collaborate with Internal and External Constituents
Reviews eligibility and available benefits for upcoming appointments and informs College of Dentistry providers and program managers of insurance coverage lapses or maxed benefits; this is vitally necessary for the successful delivery of care to our Medicaid population and the prevention of lost revenue for the College.
Shares information with team when subject matter is applicable to departmental operations.
Directs patient complaints regarding treatment by student providers to Patient Reps for review and resolution.
Participates in meetings; listens when receiving new information; adds to discussions to share experiences related to topic. Treats others with respect at all times.
Human Resources Management
Actively participates in our students' education by enhancing their understanding of the business aspect of Dentistry; teaches them how to check insurance eligibility and benefits and apply this knowledge to arrive at an affordable treatment plan for their patient. Informs providers of documentation required to ensure successful adjudication of dental/medical insurance claims.
Serves as a resource for correct business processes for staff and providers throughout the College.
Is active participant in the Automated Call Distribution (ACD) phone system; processes web based credit card transactions upon patient request.
Forwards requests for preauthorizations and claim appeals to appropriate business office employees.
Collects patient balances and down-payments and records same in patient accounting system (PAS). Balances cash collections to Patient Accounting System (PAS).
Obtains and registers insurance information and secures all necessary signatures. Prepares treatment for submission to insurances.
Sets up monthly payment plans according to College of Dentistry guidelines. Monitors patient accounts and contacts patient/guarantor when accounts are delinquent.
Using College of Dentistry guidelines initiates refunds of patient and/or insurance credits created throughout the course of treatment.
Support Services Specialist - PVD1 (Regular P&S)
College of Dentistry - Clinic Administration (Iowa City, IA)
Salary: $39,208 to commensurate (Pay Grade: 3A)
Schedule: Monday - Friday, 8:00am - 5:00pm
May require occasional overtime.
Bachelor's degree or equivalent combination of education and relevant experience.
Typically requires 6 months relevant experience in a medical/dental business office with financial counseling, cash collection, knowledge of insurance claim processing requirements/adjudication experience and strong customer service skills including the following skillsets:
KNOWLEDGE OF HEALTH AND/OR DENTAL CARE REIMBURSEMENT - Basic Experience
Knowledge of the full spectrum of activities, practices, tools, and considerations for managing health and/or dental care reimbursement processes.
Can identify the major activities of the patient revenue management function and explain to customer/patient.
Understands basic principles, techniques and terminology of claims processing and reimbursement.
Can identify major types of coverage, associated claims and payment processes.
KNOWLEDGE OF HEALTH AND/OR DENTAL CLAIMS- Basic Experience
Knowledge of the full spectrum of activities, practices, tools, and considerations for managing claims processing.
Can identify the major activities of the claims function.
Understands basic principles, techniques and terminology of dental and/or medical claims processing.
Can identify major types of coverage and associated claims.
HIPAA - Knowledge and understanding of the Health Insurance Portability and Accountability Act - Working Experience
Knowledge and understanding of the Health Insurance Portability and Accountability Act.
Describes the implications of the law to own function.
Participates in implementing adherence to specific aspect of this law.
Describes major HIPAA-related challenges to the organization.
Identifies relevant procedures that demonstrate HIPAA adherence.
Describes types of plan conversions in compliance with HIPAA guidelines.
Demonstrated Customer Service skills.
Experience with electronic health record/patient accounting system.
Experience in a dental practice.
In order to be considered for an interview, applicants must upload (and mark as "Relevant File") to their submission: cover letter, resume, and 3 names of professional reference.
Job opening are posted for a minimum of 14 calendar days. This job may be removed from posting and filled any time after the minimum posting period has ended. For questions or additional information, please contact COD-Requisitions@iowa.uiowa.edu.
Successful candidates will be subject to a criminal background check.
The University of Iowa is an equal opportunity/affirmative action employer. All qualified applicants are encouraged to apply and will receive consideration for employment free from discrimination on the basis of race, creed, color, national origin, age, sex, pregnancy, sexual orientation, gender identity, genetic information, religion, associational preference, status as a qualified individual with a disability, or status as a protected veteran.
Performs business functions to support College of Dentistry Revenue Cycle; duties include claim submission and Accounts Rec management, cash collection, financial counseling and insurance verification
Internal Number: 21002547_1621438921
About University of Iowa
With over 31,000 students, the University of Iowa is one of the nation's top public research universities, a member of the Big Ten conference and the Association of American Universities. The University of Iowa is composed of eleven colleges and is known around the world for its balanced commitment to the arts, sciences, and humanities. It is home to one of the nation's largest academic medical centers and the pioneering Iowa Writers' Workshop. The University of Iowa promotes work/life integration and is located in the casual yet cosmopolitan environment of Iowa City, widely recognized as one of the country's most livable communities.