Full-Time

Billing: Insurance Verification Specialist

Petoskey, MI / Remote
$18-$21/Hour

Earn More with Industry Leading Benefits
When paired with our competitive compensation, our industry-leading benefits are here to support you in your professional and personal journey. We offer:  

• Health, Dental and Vision Insurance for you and your family
• Life Insurance, Short & Long-Term Disability
• 403(B) with Company Matchup to 5%
• Wellness Program & Gym Membership Benefits
• Monthly Incentive Opportunities

Enjoy Your Personal Time

• No Nights, Weekends, or On-Call Hours
• Generous Paid Time Off   
• Holidays  

The Career & Support You Deserve 
Get the best of both worlds! Develop your skills, all while making an enormous impact in patients’ lives. 

• Onboarding & Training: We offer a comprehensive onboarding and training process that starts on your first day with us. 
• Mentorship & Development: Your career goals are closer than ever! Get one-on-one mentorship with our experienced operations team leaders to accelerate your career.  
• Room to Grow: When it is time for the next step in your professional journey, we are ready to help you reach your next destination with career path options that suit your professional and personal goals. 
• Tuition Assistance: With education assistance, continue on your journey of learning and furthering your professional development.
• Network of Support: You have team of experts to support you so you can concentrate on your job tasks

You May Be a Good Fit for The Position If You…  

• Have exceptional communication skills, and a friendly personality
• Thrive on providing outstanding service and care
• Are mission-driven and are eager to care for underserved communities
• Can work with interruptions and effectively manage multiple priorities

We are also looking for the following: 

• High school graduate or equivalent
• Experience in healthcare insurance or dental experience helpful

If this all appeals to you, we encourage you to apply today!

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As a valued member of our Insurance Team, the Insurance Verification Specialist (IVS) plays an integral role in creating lasting impressions that promote a positive patient experience. The IVS role is essential in building a patient-centric culture that fosters loyalty and trust within the communities we serve. One of the core duties is to ensure comprehensive insurance eligibility and benefit verification, minimizing center tasking in preparation for appointments. As an organization, we believe in our mission and expect all team members to model MCDC’s culture, values, and best practices through “Exemplifying Excellence.”

This position is full time with the majority of work being remote, with all computer and office equipment provided by MCDC. Reliable high-speed internet is required, must be provided by the employee, and will need to be tested by MCDC IT to verify functionality. Occasional working time may be required in an MCDC office for training, meetings, etc. Authentication into certain accounts required to perform this job may require the use of your personal mobile device for two-factor authentication purposes (whether via an authenticator app or SMS message) to authenticate your individual login to those systems.

The IVS is responsible for verification of patient insurance eligibility and benefits verification in the practice management software to support billing of claims and collection of patient portion. This includes verification of patient eligibility and benefits through a staged process prior to patient appointments. The tasks will be performed using online websites or by calling insurance companies to obtain the required information, entering it in the practice management software and communicating back to the MCDC Billing team, Patient Experience team or center staff as appropriate.

The person in this role must exercise independent judgment and discretion in completing all tasks assigned. The IVS works closely with insurance payers with whom we are contracted and not contracted with. The role interfaces closely with other Billing Department staff to ensure insurances are not negatively affecting receipt of payment for services. In addition, the person in this role must treat all information and data within the scope of this position with complete confidentiality and security including, but not limited to, following HIPAA guidelines.

Typical Duties and Responsibilities

• Access insurance payer websites, maintaining passwords and confidentiality
• Investigate insurance benefits, coverage, maximum benefits and deductibles
• Build new insurances into Dentrix following the Insurance Naming Conventions Process
• Create new coverage tables and update existing insurance coverage tables
• Monitor insurance lists to identify and remove duplicate insurances
• Create/maintain process documentation for all payers to assist with training of future Insurance Specialists
• Coordinate with outside vendors, if any, who are performing the same or similar tasks of creating and/or updating insurances to ensure consistency
• Manage the Insurance Ticket System on IES
• Verify patient eligibility
• Communicate effectively with the Billing Department, Patient Experience team and Operations staff in a timely manner
• Maintain proficiency in data entry
• Provide support to Credentialing staff as it relates to insurance payers and their websites
• Provide assistance to MCDC staff with understanding complex insurance situations
• Secondary tasking to support the Insurance Plan Maintenance Specialists with limited backup for insurance plan creation and maintenance
• Additional tasking to support the needs of the Billing Department related to insurance
• All other duties as assigned

Knowledge, Skills, Abilities

• Possess above average knowledge/experience with computers and software (Microsoft Windows, Word, Excel, Outlook, Teams, Dentrix, ZUUB and Internet)
• Good typing skills
• Excellent attention to detail as well as ability to review own work for quality control and correction
• Ability to follow complex established processes to ensure consistency of task performance across the team
• Be able to work efficiently with interruptions and manage multiple priorities at the same time
• Be able to work unsupervised and exercise critical thinking skills to meet deadlines and problem-solve
• Proactive approach to teamwork to ensure support of own team as well as other departments
• Excellent verbal and written communication skills
• Ability to maintain professional demeanor at all times demonstrating patience, adaptability and compassion
• Familiarity with business machines as needed (computer, fax, copier, scanner, etc.)
• Ability to read and interpret dental insurance policies and benefits descriptions
• Experience with insurance to understand insurance terminology including deductibles, copays, coinsurance, covered versus noncovered, network affiliation, leased network affiliation and waiting periods

Job Specifications

• High school diploma or equivalent
• Experience in healthcare insurance or dental experience helpful