Billing-Prior Authorization Specialist

Billing-Prior Authorization Specialist

Position Title: Billing-Prior Authorization Specialist
Department: Clinic Operations
Posting Link: https://www.ubjobs.buffalo.edu/postings/61838
Job Type: Full-Time

Position Summary

The University at Buffalo School of Dental Medicine (SDM) is seeking a Billing-Prior Authorization Specialist. This position will report to the Billing Supervisor. The primary purpose of this position is to perform billing and pre-authorization functions with support for Admissions Dept. Additional requirements include performing billing tasks in collaboration with the Billing Supervisor as required. This individual works closely with students, residents, staff and faculty to maintain the efficient effective workflow and operation of the dental clinics.

Duties and responsibilities will include:

• Manage follow up on insurance claims and enter claim information through insurance carrier websites.
• Verify insurance eligibility, benefits, coverage, and financial approvals.
• Obtain prior authorizations for imaging and dental procedures and resolve related issues with codes or approvals.
• Apply knowledge of dental criteria and NYS Medicaid and Medicare rules to ensure procedures meet coverage requirements before billing.
• Document accurate insurance information and patient specific coverage notes in the EHR.
• Participate in meetings and support testing, updates, and optimization of the EHR system.
• Create instructional materials and training resources for EHR use.
• Handle patient communication, including mailing correspondence and responding to phone inquiries.
• Provide back-up support for staff and assist Admissions department as needed.
• Deliver high quality customer service to ensure a positive patient experience.
• Complete additional responsibilities assigned by management or senior leadership to support Clinical Affairs operations. These responsibilities may include, but are not limited to, functions related to Billing, Welcome Center, Medical Records, Admissions, and Prior Authorization.

Monday - Friday 8:30 a.m. - 4:30 p.m.

About UB

The University at Buffalo is SUNYs most comprehensive public research university, and an outstanding place to work. UB amplifies ambition for faculty and staff by offering endless possibilities to achieve more. Here, people from all backgrounds and cultures challenge and inspire each other to discover, learn and succeed. Dedicated staff and engaged faculty collaborate to further knowledge and understanding and develop tenacious graduates who are valued for their talents and their impact on global society. Visit our website to learn more about the University at Buffalo.

The University at Buffalo is an affirmative action/equal opportunity employer (AA/EOE).

Minimum Qualifications

• High school diploma required.
• Prior work experience in a healthcare facility.
• Understanding of medical terminology, insurance procedures, and healthcare billing procedures.
• Strong written and verbal communication skills, strong attention to detail, ability to utilize various computer programs and navigate multiple payor websites.
• Ability to utilize multiple computer programs.

Preferred Qualifications

• Dental office experience.
• Prior experience with dental billing.
• Confidential, professional, friendly, and courteous demeanor.
• Excellent time management skills and ability to multi-task and prioritize work.
• Outstanding attention to detail.
• Excellent verbal and written communication skills
• Experience in a higher education setting preferred.

Salary Range
$40,000 - $48,000

Is a background check required for this posting?
Yes