Financial Specialist- Dentistry Billing experience required

Expected Starting Salary Range: 23.02 - 28.06

POSITION TITLE: Financial Specialist- Dentistry

SUBFUNCTION DEFINITION: Manage all insurance related tasks for the Division. Act as liaison between patients, our providers, insurance companies and professional/hospital billing departments. Provide timely dental estimates as requested. Provide financial guidance for patients related to hospital financial aid applications and available grants.

CAREER LEVEL SUMMARY: Requires full proficiency through job related training and considerable on-the-job experience to perform range of tasks. Works under limited supervision for routine situations. Non-routine problems are solved by applying precedents and existing processes to new situations. Identifies key issues and patterns from partial/conflicting data. May act as an informal resource for colleague with less experience.

REPRESENTATIVE RESPONSIBILITIES

• Quality

May perform research and analysis on patient financial aid data as needed. Participate in departmental/division performance improvement and quality assurance controls.

• Billing/Insurance

Obtain and evaluate family, third party payers and agency resources for payment of charges. Ensure insurance verification of benefits, eligibility and plan participation. Secure authorizations with supporting documentation as needed. Communicate with families on coverage and out-of-pocket liability. Process insurance changes.

• Financial Responsibility

May have specialized areas of responsibility (e.g. government & non-government billing, appeal processing, review & approval of refunds in addition to coding corrections, etc.). May manage specialized work queues independently due to knowledge and unique system security clearance.

• System Support

Identify system and technology needs. Participate in advancing use of technology. Ensures systems meet all regulatory and compliance requirements. Perform tasks which require higher level of security access. May lead in testing, install updates and act as the liaison with the vendor to make appropriate programming changes and solve systems issues.

• Collaboration

Perform duties in support of team members, daily operations, problem solving, projects, and communications with payor representatives. Supplement training beyond training on services, systems and payor specifics. Perform specialty services functions and may direct daily activities for specific work functions. Act as a resource within the department/division. Provide instruction for performing non-routine functions. Serve as a liaison between Division and other Cincinnati Children's departments.

Qualifications:

EDUCATION/EXPERIENCE

Required:

• High school diploma or equivalent

• 3 to 5 years related experience

Preferred:

• Bachelor's degree

• Coding certification

• 2 years related experience in healthcare system revenue cycle setting

Unique Skills:

• Prioritization

Using time efficiently and productively; prioritizing multiple tasks properly to meet deadlines; recognizing time constraints and adjusting work schedule to address them.

• Knowledge of Field - Intrm

Knowledge of regulations, procedures and best practices in field

• Systems - Basic

Working knowledge of systems relevant to the field

• Detail Orientation

Meticulously keeping track of details without becoming overwhelmed by them; being exacting, precise, and accurate; spotting minor imperfections or errors and taking action to correct them

• Professional Demeanor

Demonstrates an independent work initiative, sound judgment, diplomacy, tact and professional demeanor

• Problem Solving

Ability to independently work through details of a problem to reach a positive solution

• Communication

Excellent verbal, written and/or interpersonal communication skill

• Preferred

Training and/or experience in databases and Microsoft application

Cincinnati Children's is proud to be an Equal Opportunity Employer that values and treasures Diversity, Equity, and Inclusion. We are committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/AA/M/F/Veteran/Disability