Billing Coordinator - Clinic Billing Operations, School of Dental Medicine
Location: Boston, Massachusetts
Internal Number: 21001861
Billing Coordinator - Clinic Billing Operations, School of Dental Medicine - (21001861)
This is a part-time position, working 24 hours per week.
Tufts University School of Dental Medicine (TUSDM) offers one of the most forward-looking educational environments in dental medicine in the country. The Medical and Dental Billing team, Clinic Billing Operations, along with other members of the Finance and Administration team, supports the financial management and administration of the dental school. This position reports directly to the Billing Manager and works closely with the school clinics it supports: UG/PG, Dental Faculty Practice, Tufts Dental Facilities and Diagnostic Sciences: Craniofacial Pain and Sleep Center, Oral Medicine, Oral and Maxillofacial Pathology.
Clinic Billing Operations (CBO) supports patient care services billing for the Pre-doctoral, Postgraduate and Specialty clinical treatment areas of the School, as well as any needed billing support for IRB clinical study patients and maintaining CITI certification. The Postgraduate Clinics (residents) are the Specialty Clinics, which includes: Endodontics, Orthodontics, Periodontics, Prosthodontics, Pedodontics and Oral and Maxillofacial Surgery.
Under limited supervision, the Billing Coordinator is responsible for providing billing metrics to support daily, monthly, quarterly and yearly revenue and collections goals; timely reviewing of codes for accuracy; accurate timely creation and submission of claims to dental/medical insurance companies; timely resubmission and/or appealing denied claims; posting payments and adjustments; answering complex patient billing inquiries and accurate timely reviewing and working aging accounts. Performs other billing related duties, to assist in revenue cycle management.
Bachelor's Degree/Associate's Degree preferred or High School degree/GED and 3-5 years of experience in the finance field or in a related area and dental/medical healthcare knowledge.
Needs to be driven, Excel knowledge, innovative, independent, self-starter, a leader, team player, analytical intelligence, exceptional attention to detail, healthcare business or insurance knowledge, ability to effectively communicate technical information, aptitude and willingness to learn and drive change.
Dental coder certification (CDC) required, or within 1 year of hire date.
Bachelor's Degree preferred.
Certified Dental Coder (CDC) applicant with 4 - 6 years of medical/dental insurance coding/billing.
Knowledge of third-party billing.
Knowledge of MassHealth and Medicare regulations and guidelines, as well as commercial dental/medical insurance coding/billing practices.
Familiarity with ADA codes, CPT Codes and ICD-10 Codes.
Experience in a fast-paced dental/medical setting.
Knowledge axiUm software.
Special Work Schedule Requirements: 24 hour work week, hours are flexible: Monday - Friday 8 AM -5 PM
An employee in this position must complete all appropriate background checks at the time of hire, promotion, or transfer.
Tufts is a leader in American higher education, distinctive for its success as a moderately sized university that excels at research and providing students with a personal experience. Our unique combination of research and liberal arts attracts students, faculty and staff who thrive in our environment of curiosity, creativity and engagement.