Dental Benefit Coordinator

Boston, NH - USA

Monthly Salary: USD 20 - 31

Posted on: Yesterday

Vacancies: 1 Vacancy

Department:

Health Care

Job Summary

Description

Position Summary

The Dental Benefit Coordinator plays a critical role in improving patient experience and supporting the financial health of the Dental Department. This position is responsible for timely and accurate processing of dental pre-estimates prior authorizations Health Safety Net verification and sliding fee scale determinations. The coordinator serves as the primary liaison between patients providers insurance carriers and internal teams to ensure financial clarity compliance and efficient scheduling of dental services.

This role requires strong attention to detail excellent communication skills and a solid understanding of dental insurance benefits billing workflows and patient financial agreements.

Key Responsibilities

Insurance and Financial Coordination

Verify dental insurance eligibility benefits deductibles and coverage status using appropriate portals and systems
Process dental pre-estimates for commercial insurance and prior authorizations for MassHealth
Verify Health Safety Net eligibility and determine applicable deductibles
Qualify uninsured patients for the Health Centers Sliding Fee Program
Submit required documentation including dental codes x-rays narratives and treatment plans to insurance carriers
Track approvals denials and pending submissions and follow up within required timeframes

Patient Financial Counseling

Meet with patients to explain insurance benefits estimated costs and financial responsibility
Prepare review and obtain signatures for dental contracts waivers and payment agreements
Ensure patients understand payment requirements prior to scheduling procedures
Document all financial obligations clearly in the patient chart and messaging system

Scheduling and Workflow Management

Schedule approved dental procedures in coordination with providers
Scrub dental schedules daily to ensure approvals contracts and payment requirements are met
Communicate patient payment expectations to registration staff in advance of appointments
Conduct reminder calls to patients regarding upcoming appointments and payment due at check-in

Documentation and Compliance

Ensure all required consent forms contracts and waivers are completed and scanned into EPIC and Dentrix
Maintain accurate logs tracking pre-estimates prior authorizations HSN cases and sliding fee patients
Adhere to all departmental workflows scripts and financial policies

Reporting and Performance Monitoring

Produce weekly and daily reports on submission status approvals denials and collections
Track key performance indicators including schedule accuracy approval turnaround and point-of-service collections
Provide status updates on treatment plans specialty referrals and outstanding cases
Support revenue optimization efforts through accurate billing preparation and workflow compliance

Key Performance Indicators

95 percent patient satisfaction score
100 percent of scheduled appointments with signed contracts and approvals
95 percent schedule accuracy through daily scrubbing
100 percent collection of estimated patient responsibility at check-in
Timely submission and follow-up of all pre-estimates prior authorizations HSN and sliding fee cases

Qualifications

Required Skills and Qualifications

High attention to detail and strong organizational skills
Knowledge of dental insurance plans billing processes and benefit coordination
Excellent verbal and written communication skills
Ability to explain complex insurance and financial information to patients clearly
Strong interpersonal skills to collaborate with providers staff and insurance carriers
Proficiency with EPIC Dentrix Trizetto MMIS and dental insurance portals preferred

Accountability and Expectations

Maintain punctual attendance and reliability
Meet all submission documentation and reporting deadlines
Ensure compliance with Health Center policies and insurance requirements
Contribute to improved patient experience reduced denials and optimized revenue collection

Skills and Qualifications

- Minimum requirement 5-10 years of experience as licensed dental assistant
- Previous managerial experience of projects and/or staff preferred
- Excellent oral and written communication skills
- Demonstrated proficiency in DENTRIX/DEXIS software use
- Knowledge of management of dental prior authorizations pre-estimates and denials
- Knowledge of dental practice operations
- Excellent interpersonal verbal and written communication skills
- Ability to manage multiple tasks work under pressure and prioritize workload.
- Strong organizational skills and attention to detail is essential.
- Ability to establish and maintain effective working relationships with patients and team members

Competencies Skills and Attributes:

- High School Diploma or GED
- Certified Dental Assistant
- Knowledge of dental coding and billing procedures
- 5-10 years of experience in Dental Front Office environment

Required Experience:

DescriptionPosition SummaryThe Dental Benefit Coordinator plays a critical role in improving patient experience and supporting the financial health of the Dental Department. This position is responsible for timely and accurate processing of dental pre-estimates prior authorizations Health Safety Net...