Job Description

The Insurance/Accounts Receivable (AR) Coordinator is responsible for managing the financial health of the practice by ensuring accurate and timely insurance claims processing, patient billing, and account reconciliation. This role includes overseeing private aging reports, resolving outstanding balances, and working with insurance companies to maximize reimbursement while maintaining a positive patient experience.

Key Responsibilities:

Private Aging & Accounts Receivable Management:

• Monitor and manage private aging reports to track outstanding balances for both insurance and patient accounts.

• Perform weekly follow-ups on unpaid claims and patient balances to maintain healthy cash flow.

• Investigate and resolve aged accounts (30, 60, 90+ days past due) by contacting insurance companies and patients.

• Ensure all denied or underpaid claims are appealed promptly with appropriate documentation.

• Identify trends in payment delays and work with management to implement process improvements.

• Maintain detailed records of communications with insurance companies and patients regarding outstanding balances.

Insurance Claims & Payment Processing:

• Submit, track, and follow up on insurance claims and pre-authorizations to ensure timely processing.

• Verify insurance eligibility and benefits before patient appointments.

• Post insurance payments and identify discrepancies between expected and actual reimbursement.

• Communicate with insurance companies to resolve denials, partial payments, and coding issues.

• Ensure compliance with insurance billing regulations, coding accuracy, and policy updates.

Patient Billing & Collections:

• Generate and send monthly patient statements for outstanding balances.

• Contact patients regarding overdue accounts in a professional and compassionate manner.

• Educate patients on insurance coverage, financial policies, and out-of-pocket costs before treatment.

• Address patient inquiries regarding billing and provide clear explanations of account balances.

Qualifications

• Customer service experience

• Dental office experienced (preferred)

Additional Information

We provide equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Working Environment & Physical Requirements

Working conditions include those typically seen in an office environment. Prolonged periods of sitting at a desk and working on a computer. Must be able to lift to 15 pounds at times.