Children's Dental Management, the region's leading provider of pediatric dental medicine, has a full-time opportunity available for a Medical Insurance Verifier in our West Chester corporate office! The Medical Insurance Verifier is responsible for confirming all coverage for patients prior to the day of service. They are also responsible for informing the patients of their coverage including any copays, deductibles and co-insurances due the date of the procedure.

Essential Duties and Responsibilities:

• Verify coverage and obtain and document 100% of required insurance pre-authorizations prior to surgery.
• Enter the patients? insurance information accurately in the computer system.
• Greet the public with a sense of warmth, compassion and pride and see to the needs of the patients and families.
• Obtain insurance information, copies of insurance cards, patient signatures, and collect 100% of the patient?s portion of financial responsibility.
• Contact the insurance companies to verify coverage and the need for a prior authorization
• Complete letters of medical necessity as needed for insurance companies and keep copies scanned in the patient charts
• Inform patient of self pay rates due in the event the insurance company is out of network for the facility
• Maintain an open line of communication with the Business Office Manager to ensure conflicts between contracted entities and the information being received from the customer service representatives at the payers is accurate
• Know and understand payer contracts and how they read so you can discuss any issues with the customer service representatives when verifying coverage
• Be familiar with state and federal laws and mandates when it comes to coverage by medical payers for the services we provide
• Educate the parents to contact their insurance company if the carrier states its not a covered benefit or to ensure they have an advocate to obtain timely payments for the center prior to date of service
• Scan all authorizations or approvals for the patient surgery into the document manager of the practice management system
• All other duties as deemed appropriate

Children's Dental Management is the leading pediatric Dental Support Organization (DSO) in the region. We support the provision of preventive services, diagnostic imaging, and a full range of restorative dental care for our affiliated pediatric practices and ambulatory surgery centers at more than 30 locations across multiple states. Leveraging the latest equipment and technology, our affiliated dentists provide comprehensive dental care to pediatric patients ? from infants to adolescents?in fun, welcoming environments designed specifically for the needs of children.

We are pleased to offer a competitive salary and strong benefits package, which includes:

• Company contributions towards medical insurance coverage
• No-cost employer paid dental insurance for all employees
• 401k
• Generous paid time off (PTO) policy
• Company paid holidays
• Employer-paid Group Term Life Insurance, Short-Term Disability, and Long-Term Disability Insurance