Patient Account Navigator - Insurance Coordination (Administrative)

The College of Dentistry is seeking an experienced Patient Account Navigator for Insurance Coordination to assist patients with their accounts and insurance claims.

Duties:

• Initiates and coordinates insurance or other carrier pre-certification and prior authorization for patients
• Manages insurance company information in the Electronic Health Record system including benefit plans, coverage templates and related company information.
• Coordinates with the business office to ensure accurate claim information to support timely claims and account follow-up.
• Completes the pre-certification process communicating with the patient, dentist, insurance company, other financial institutions and the hospital
• Receives and processes information and forms from the patient and insurance company. 
• Reviews provider and treatment protocols, determines insurance benefits and patient responsibility, establish payment arrangements with the patient, and documents appropriate practice management system
• Provides financial counseling to patients. 
• Interviews patient by telephone or in person to gather financial information in order to determine discounts that may be applicable
• Counsels patients regarding insurance benefits and recommends alternative sources of payment and financial assistance when appropriate
• Assists patients with obtaining grants and financial aid for patients in need
• Performs various duties to successfully fulfill the function of the position

Education: High school diploma or GED AND: 

• 12 months experience in dental or medical insurance, eligibility checks and pre-certifications, customer service, dental or medical billing, accounts receivable or related experience

Skills:

• Basic knowledge of Health Insurance Portability and Accountability Act (HIPAA) regulations and procedures.
• Excellent verbal and written communication skills.
• Ability to use a 10 key.
• Must be detail oriented.
• Ability to multitask and meet deadlines.
• Ability to read and interpret basic business correspondence, safety manuals and policy manuals.

Working Conditions:

• Physical:
  • Sitting for prolonged periods.
  • Communicates effectively and listens.
  • Use of computer and telephone.
  • Manual dexterity.
• Environmental:
  • Standard Office Environment

Departmental Preferences:

• Bachelor's degree
• Experience with Medicare/Medicaid claims

Equal Employment Opportunity Statement:  The University of Oklahoma, in compliance with all applicable federal and state laws and regulations, does not discriminate on the basis of race, color, national origin, sex, sexual orientation, genetic information, gender identity, gender expression, age, religion, disability, political beliefs, or status as a veteran in any of its policies, practices, or procedures. This includes, but is not limited to, admissions, employment, financial aid, housing, services in educational programs or activities, and health care services that the University operates or provides.

Why You Belong at the University of Oklahoma: The University of Oklahoma, fosters an inclusive culture of respect and civility, belonging, and access, which are essential to our collective pursuit of excellence and our determination to change lives. The unique talents, perspectives, and experiences of our community enrich the learning, and working environment at OU, inspiring us to harness our innovation, creativity, and collaboration for the advancement of people everywhere.