East Carolina University
Pre-Authorization Specialist
East Carolina University, Greenville, North Carolina, United States, 27834
Overview
This position is located in the School of Dental Medicine at Ross Hall and is involved in the following functions: Electronically submitting complex insurance claims that require attachments through specialized software, or manually via online insurance portals such as NC Tracks for Medicaid. Gathering all needed information from the Electronic Health Record to prepare and submit insurance pre-authorizations through specialized software. Tracking and entering pre-authorization results into the billing and treatment records. Monitoring expiring pre-authorizations and requesting extensions or new authorizations when needed. Notifying providers of preauthorization results. Conducting specialized training for incoming dental students and training new/existing staff on specialized software (e.g. NEA Fast Attach). Reviewing remittance advice documents and EOBs to ensure proper processing and payment of claims. Correcting all data errors, resubmitting or appealing unprocessed or returned claims. Analyzing patterns of difficulty in either submission or approval and suggesting corrective measures to improve processes and results. This individual must be knowledgeable regarding all areas of dental patient accounts including claims, insurance processing, payment processing, write-offs, and adjustments. This position must communicate effectively with clients, faculty, insurance company representatives and staff. This position will serve as a back-up for patient phone calls and payments. Benefits and Eligibility
DENTAL MEDICINE SUPPORT POSITION – NOT SUBJECT TO STATE HUMAN RESOURCES ACT. Employment in this position provides eligibility to participate in the UNC Optional Retirement Program (ORP) which offers matching employer contributions and employee control of investment choices, along with eligibility to participate in various Voluntary Supplemental Retirement Plans (401k, 403b, 457). This position is not eligible to participate in the NC Teachers’ and State Employees’ Retirement System (TSERS). Additionally, this position offers multiple voluntary options for Medical, Dental, Vision, and Life Insurance as well as various supplemental plans including Critical Illness, Flexible Spending Accounts, Cancer, and Disability.
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This position is located in the School of Dental Medicine at Ross Hall and is involved in the following functions: Electronically submitting complex insurance claims that require attachments through specialized software, or manually via online insurance portals such as NC Tracks for Medicaid. Gathering all needed information from the Electronic Health Record to prepare and submit insurance pre-authorizations through specialized software. Tracking and entering pre-authorization results into the billing and treatment records. Monitoring expiring pre-authorizations and requesting extensions or new authorizations when needed. Notifying providers of preauthorization results. Conducting specialized training for incoming dental students and training new/existing staff on specialized software (e.g. NEA Fast Attach). Reviewing remittance advice documents and EOBs to ensure proper processing and payment of claims. Correcting all data errors, resubmitting or appealing unprocessed or returned claims. Analyzing patterns of difficulty in either submission or approval and suggesting corrective measures to improve processes and results. This individual must be knowledgeable regarding all areas of dental patient accounts including claims, insurance processing, payment processing, write-offs, and adjustments. This position must communicate effectively with clients, faculty, insurance company representatives and staff. This position will serve as a back-up for patient phone calls and payments. Benefits and Eligibility
DENTAL MEDICINE SUPPORT POSITION – NOT SUBJECT TO STATE HUMAN RESOURCES ACT. Employment in this position provides eligibility to participate in the UNC Optional Retirement Program (ORP) which offers matching employer contributions and employee control of investment choices, along with eligibility to participate in various Voluntary Supplemental Retirement Plans (401k, 403b, 457). This position is not eligible to participate in the NC Teachers’ and State Employees’ Retirement System (TSERS). Additionally, this position offers multiple voluntary options for Medical, Dental, Vision, and Life Insurance as well as various supplemental plans including Critical Illness, Flexible Spending Accounts, Cancer, and Disability.
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