Job Description

The Insurance Contract Specialist ensures all insurance contracts at various office locations for SGA Dental Partners are accurate and reimbursement reflects the correct fee schedule as contracted. QUALIFICATIONS Essential Duties

• Provides support for office managers and insurance coordinators to ensure insurance contracts are accurate and reimbursing the office correctly.
• Provides follow-up information and status updates on all support requests from offices.
• Investigates discrepancies with direct and indirect insurance contracts.
• Monitors and responds to \xe2\x80\x98recred\xe2\x80\x99 email requests from offices.
• Communicates with insurance companies to verify fee schedules, correct contracting status, and other troubleshooting situations.
• Communicates effectively and professionally with doctors, office managers, and executive team.
• Gather additional information from insurance companies as needed.
• Answer telephone.
• Maintains patient/provider confidentiality and takes every precaution to secure electronic Protected Health Information (PHI) under HIPAA.
• Assists Credentialing Associate as needed.
• Assumes and executes additional responsibilities as assigned.

Knowledge/Skills/Abilities

• Knowledge of English composition, grammar, spelling and punctuation.
• Skilled in the use of basic office equipment such as: telephones, calculators, copier, fax, computers and computer software (MS Excel, Word, Practice Management software).
• Ability to be professional and maintain composure when dealing with stressful situations.
• Ability to cooperatively work with the doctors, co-workers, various facilities, and patients and build relationships of trust.
• Ability to prioritize, organize and complete tasks in a timely manner.
• Ability to accept constructive criticism.
• Ability to understand and follow written and verbal instructions.
• Ability to collect data, establish facts and maintain confidentiality.
• Ability to communicate and express thoughts and ideas clearly and competently.
• Ability to quickly grasp relevant concepts regarding duties and responsibilities.
• Treats co-workers and doctors professionally and courteously.

Education/ Experience

• High school diploma or equivalent.
• College Degree preferred.
• Insurance or insurance contracting experience preferred.
• Detail oriented with strong organizational skills.

Physical/ Environmental Requirements

• Must be able to carry and lift items weighing up to 25 pounds.
• This position will require sitting for long periods of time, walking, standing, bending, and walking, as well as using fine motor skills, such as finger dexterity for typing and using small hand tools.
• This position requires average to above-average visual acuity and hearing.
• Prolonged periods sitting at a desk and working on a computer.
• Must be able to read memos, computer screens, personnel forms, and clinical and administrative documents.