Dental Insurance Coordinator

As you take your first step onto a Western University of Health Sciences campus, each path, each person, each structure comes with a transformative story. Western

U is more than the practice of medicine. We are defined by character and culture.

At Western

U, you will discover humanism at the heart of every interaction: a warm welcome, a sincere smile, a positive word, a kind deed, a thoughtful gesture. You will see students work together on case studies; a parade of pets in campus parks; student clubs offering opportunities for career growth and community involvement; and faculty, staff and students designing their future and the future of Western

U. We display a collaborative mindset in how we operate, educate, and serve others.

Although, geographically, we are two campuses - as humanists, we are one: to enhance and extend the quality of life in our communities and achieve excellence in everything we do. We attract diverse, professional faculty, staff and students that thrive in an environment of humanistic health care education. Join our team of faculty and staff and make a difference.

Position Title

Position Title Dental Insurance Coordinator

Position Control Number

Position Control Number S04493

Type of Position

Type of Position Staff

Position Status

Position Status Full-time

Campus

Campus Patient Care Center-Pomona, CA

Position Location

Position Location California

Department

Job Summary

The Dental Insurance Coordinator supports the CDM clinical enterprise by acting as a liaison between patients, students, staff, faculty, and insurance providers. This role is primarily responsible for coordinating Patient Care Coordinators, Dental Insurance Biller and other key personnel on matters related to Denti-Cal and private insurance plans and assisting with the resolution of insurance-related issues.

The Dental Insurance Coordinator also assists with verifying dental insurance benefits and supports accurate and timely processing of insurance claims and maintains up-to-date patient insurance records to support efficient clinic operations.

Knowledge,

Skills and Abilities

Individuals must possess the knowledge, as well as the following skills and abilities or be able to perform the essential functions of the job, with or without reasonable accommodation, using some other combination of skills and abilities.

• Experience in the policies and procedures of a multi-provider dental practice, preferably within a dental school environment.
• Dental services billing experience with knowledge of billing for Denti-Cal & private insurance companies.
• Experience in working in an electronic health record and electronic billing.
• Must have working knowledge of the laws governing billing and collections efforts.
• Excellent verbal and written communication skills. Must be able to effectively interact with health care professionals, students, and patients. Bilingual ability helpful.
• Experience with computers, Microsoft office, printers, calculators, fax machine, copy machine operation, and telephone operation.

• Education: Any combination of education, training, or experience that provides the required knowledge, skills, and abilities.
• Experience:
  • Minimum of 2-3 years of administrative experience in a dental office or large dental clinic, with dental insurance billing including Denti-Cal Billing.
  • Knowledge of dental terminology.
  • Experience using dental Electronic Health Record

Preference will be given to candidates with experience in dental education.

• Experience:
  • Registered Dental Assistant or previous dental assisting experience.
  • Bilingual (Spanish/English)

• With Patient Care Coordinators manages all aspects of the Denti-cal Billing Allowance Program which includes working within the SharePoint system to ensure timely approval/denial l of requests. Organizes and expedites flow of work through the clinic systems and initiates follow-up action as needed.

• In conjunction with the CDM Dental Biller reviews Explanation of Benefits from third-party payers to determine if payment was made correctly, and if denials can be re-billed. Analyzes and maintains billing reports to ensure…