Dental Claims Coordinator- Special Needs

Dental Claims Coordinator
- Special Needs

Join to apply for the Dental Claims Coordinator
- Special Needs role at The University of Tennessee Health Science Center.

Hiring Salary: $19.67/Hourly

The Dental Claims Coordinator for the Special Needs Clinic oversees all dental insurance billing, claims processing, and provider credentialing for a clinic dedicated to patients with intellectual, developmental, or complex medical conditions. This position ensures accurate, timely claims and pre‑authorizations, with a strong focus on services commonly required by patients with special health care needs such as hospital‑based dentistry, sedation, and multidisciplinary treatment.

The coordinator serves as the clinic’s subject matter expert on CDT coding, payer requirements, and documentation standards to secure coverage for specialized care.

• Performs daily verification of patient insurance eligibility, focusing on coverage for special‑needs specific services such as anesthesia, behavioral support, or hospital procedures.
• Audits patient records for accurate financial and CDT coding documentation; initiates corrections and communicates with providers to ensure compliant submissions.
• Prepares and submits insurance claims and pre‑authorizations (electronic and paper) and monitors all unsubmitted or denied claims.
• Identifies and resolves payment issues proactively, coordinating with families, caregivers, and payers to expedite approvals for medically necessary services.
• Guides patients, caregivers, and social service advocates through the insurance and reimbursement process for complex treatment plans.
• Processes patient reimbursement requests, ensuring compliance with documentation and coding requirements.
• Supports scheduling and billing processes for lengthy or hospital‑based appointments unique to special‑needs dentistry.
• Completes and maintains provider credentialing with commercial and government payers.
• Performs other duties as assigned.

Education:

High School Diploma or GED. (Transcript required)

Experience:

Four (4) years of public and private dental claims processing; OR Associate’s Degree and two (2) years of public and private dental claims processing.

• Ability to organize and prioritize work to meet competing deadlines.
• Knowledge of special needs patient population guidelines, regulations, policy, and procedures.
• Knowledge of public and private dental insurance billing policies.
• Ability to manage multiple job priorities and tasks efficiently, effectively, and accurately while demonstrating close attention to detail.
• Expert knowledge of dental terminology, treatment planning, CDT coding, accounts receivable and collections processes.
• Ability to communicate professionally and courteously with faculty, residents, students, patients and staff.
• Ability to identify, research and/or resolve financial conflicts with insurance companies and patient accounts.

Mid‑Senior Level

Full‑time

Finance and Sales

Higher Education