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Fair Haven Community Health Care

For over 54 years, FHCHC has been an innovative and vibrant community health center, catering to multiple generations with over 165,000 office visits across 21 locations. Guided by a Board of Directors, most of whom are patients themselves, we take pride in being a healthcare leader dedicated to delivering high-quality, affordable medical and dental care to everyone, regardless of their insurance status or ability to pay. Our extensive range of primary and specialty care services, along with evidence-based programs, empowers patients to make informed choices about their health. As we expand our reach to underserved areas, our commitment to prioritizing patient needs remains unwavering. FHCHC's mission is to enhance the health and social well-being of the communities we serve through equitable, high-quality, and culturally responsive patient-centered care.

Job purpose

Fair Haven prides itself on efficient billing services including the filing of claims, appeals processing, authorizations, and, above all, a great passion for helping individuals obtain treatment. The Billing Specialist/Dental Authorization Coordinator works with the Billing and Dental department verifying benefits for patients and ensuring benefits quoted are accurate and detailed.

Duties and responsibilities

The Billing Specialist/ Dental Authorization Coordinator maintains the professional reimbursement and collections process for the dental program. Typical duties include but are not limited to:

Billing

+ Performs billing and computer functions, including data entry, documentation review and encounter posting

+ Prepares and submits clean claims to various insurance companies either electronically or by paper when necessary

+ Work claims and claim denials to ensure maximum reimbursement for services provided

Carrier Authorizations

+ Verifying patients' insurance and obtaining coverage breakdowns

+ Creating ABNs as needed based on coverage

+ Schedule/treatment plan reviews for carrier authorization

+ Obtaining and logging prior authorizations for procedures as mandated by carriers.

Collections (Self-pay)

+ Prepare, review and send patient statements

+ Process and send “collections” letters for outstanding balances

+ Process all returned mail

+ Answer incoming patient billing phone calls, work to resolve patient issues

+ Initiating collection calls and setting up and maintaining payment arrangements

+ Follow collections process as outlined in FHCHC billing guideline

Qualifications

High School diploma or GED is required. Experience in a dental setting is essential. The ideal candidate will have a minimum of one year of dental authorizations and billing experience; excellent Interpersonal skills, accuracy and attention to detail a must.

The selected candidate will have the ability to work in a team environment or independently; to m eet all established deadlines, metrics and assignment goals at all times and have oral and written proficiency in English. Bi-lingual in English and Spanish is highly preferred.

He/she must be able to use computer and multi-lined telephones; have an understanding of dental terminology and knowledge and experience in billing and authorization practices specific to Medicaid.

Please note candidates must be able to commute to our New Haven and Branford, Connecticut Offices.

American with Disabilities Requirements:

External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job specific responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis.

Fair Haven Community Health Care is an Equal Opportunity Employer. FHCHC does not discriminate on the basis of race, religion, color, sex, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.

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