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Fee Schedule Administrator

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Florida (FL), Tampa
Company Name Log In or Register Here
Job Reference # or Name J0NC2915093
DR Job Category Clinical Personnel
DR Job Title Other
Job Title Fee Schedule Administrator
Brief Job Summary The primary purpose and function of the Fee Schedule Administrator is to organize and maintain all insurance fee schedules, ensuring they are loaded i
Availability Full Time
State Florida (FL)
City Tampa
Address Log In or Register Here
The primary purpose and function of the Fee Schedule Administrator is to organize and maintain all insurance fee schedules, ensuring they are loaded into the Practice Management System in a timely manner. The Fee Schedule Administrator is responsible for maintaining insurance alerts, addressing limitations and exclusions for proper billing. The Fee Schedule Administrator must understand the impact fees and alerts entered into the system have on Operations and other departments within the Support Office.

Essential Duties and Responsibilities
  • Ensure that company-wide insurance receivables are maximized through proper fee schedule interpretation.
  • Determine insurance fee schedule limitations and exclusions for proper billing.
  • Develop a method to track and maintain all accepted insurances, archiving old or discontinued fee schedules.
  • Accurately load and maintain all fees in the Practice Management System, ensuring fees are current and effective for relevant effective dates. 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 and insurance filing.
  • Reset passwords and manage log-ins for insurance carrier websites per office requests.
  • Maintain all fee schedules and plan alerts in the Practice Management System. Ensure fee schedules remain current and accurate, and distribute all insurance and fee schedule updates to the dental practices.
  • Update all insurance CDT procedure, explosion, and product codes in our dental software. Create promotional codes, as requested by Senior Leadership Team.
  • Work closely with the practices in protecting the assets of Coast Dental by properly training the offices when errors are made on 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.
  • Read and analyze explanation of benefits and make proper adjustments according to Coast Dental processing criteria.
  • Perform other duties, as assigned.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Qualifications

Knowledge, Skills and Abilities

  • Ability to organize large amounts of data including plan participation, directories, spreadsheets, and files.
  • Proficient in Microsoft Office, with an emphasis on MS Excel and the ability to use 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.


Qualifications (Experience, Education, Licensure, Certification)

  • Detailed experience with insurance company pricing, underwriting or medical/dental billing and coding.
  • Dental office or dental experience is preferred.


06/13/2018 09:01
Employer Log In or Register Here
ref: (J0NC2915093)
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