Job Type:

Job Description:

Essential Duties and Responsibilities:

• Manages the credentialing process for Medicaid and other insurance providers
• Performs account management, reviewing and maintaining patient accounts, including proper patient registration in the Electronic Health Record (EHR)
• Oversees the collections process to ensure timely and efficient recovery of outstanding accounts
• Consistently maintains accuracy and integrity in financial transactions, including regularly updating account information, monitoring billing processes, and addressing any discrepancies promptly to ensure that all financial data reflects the current status of each patient's account
• Creates, modifies and runs financial reports from the EHR. Analyzes financial data to identify trends and recommend improvements
• Stays updated on changes in insurance regulations and reimbursement policies
• Presents financial reports and analysis
• Ensures compliance with contractual obligations and monitor performance metrics
• Oversees billing operations, ensuring accuracy in charge capture and claims submission
• Assists with the posting of insurance payments and adjustments in the EHR
• Acts as liaison between the patient, family and clinical faculty/staff, as needed
• Understands Insurance plans, fees, and benefits as they pertain to the patient's treatment and be able to discuss with the patients
• Assists in the training of billing and collection personnel as needed
• Assists in managing and establishing internal controls to ensure timely and accurate billing, filing and payment collections
• Assists Director with financial and regulatory reviews as related to the College of Dental Medicine, including but not limited to the annual single audit, Department of Education and other governmental reviews and accreditation requirements
• Adheres to regulations regarding confidentiality of patient and student information, in accordance with both HIPAA and FERPA

Qualifications:

• Experience with the credentialing process for Medicaid and other insurance providers
• Knowledge typically obtained through an Associate's degree or equivalent dental office experience
• Thorough knowledge of Dental clinic operations including patient registration, billing, and collections
• At least three years of experience in the dental industry
• Proficiency with current technology and software applications including Electronic Health Record
• Extensive knowledge of third-party requirements, Medicare/Medicaid regulations and electronic filing of claims
• Understanding of and familiarity with current dental terminology
• Strong organizational and critical thinking skills
• Excellent customer service skills
• Previous management experience

Equal Opportunity Employer

KCU is committed to promoting an equal employment opportunity workplace. Equal opportunity is and shall be provided for all employees and applicants for employment on the basis of their demonstrated ability and competence without discrimination on the basis of race, color, religion, sex, age, national origin, genetic information (GINA), physical or mental disability, pregnancy, sexual orientation, gender identity, marital status, familial status, ancestry, military and/or veteran status, and/or any other status protected by applicable Federal, state or local law.

Annual Security Report

KCU is committed to providing a safe campus for students, faculty, and staff. Our annual campus security report lists campus crimes and statistics for the campus and public areas around campus for the last three years, in accordance with the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act.

Thank you for your interest in a career at KCU!