Career Center

Tufts University School of Dental Medicine (TUSDM) offers one of the most forward-looking educational environments in dental medicine in the country. The Medical and Dental Billing team, along with other members of the Finance and Administration team, supports the financial management and administration of the dental school. This position reports directly to the Billing Manager and works closely with school clinics it supports: Clinic Billing Operations, Dental Faculty Practice, Craniofacial Pain and Sleep Center, Oral Medicine, Oral and Maxillofacial Pathology and Tufts Dental Facilities.

Clinic Billing Operations (CBO) supports patient care services billing for the Pre-doctoral, Postgraduate and Specialty clinical treatment areas of the School, as well as any needed billing support for IRB clinical study patients and maintaining CITI certification. The Postgraduate Clinics (residents) are the Specialty Clinics, which includes: Endodontics, Orthodontics, Periodontics, Prosthodontics, Pedodontics, Oral and Maxillofacial Surgery, AEGD and Geriatric Dentistry.

Our onsite patient-facing Patient Financial Coordinators play a vital role in the Dental School’s revenue cycle management and have a direct impact on the clinic’s financial and billing outcomes success.

Clinic Billing Operation’s Patient Financial Coordinator:

• Ensures timely and accurate entry of patient demographics, insurance information and self-pay financial/collection aspects to enhance and secure frontend collections.
• Ensures patients understand their financial responsibilities by reviewing/reconciling accounts and explaining/answering any/all financially based service inquiries.
  
• This position’s role and responsibilities are deadline driven and requires accuracy and attention to detail.
• Is responsible for ensuring that scheduled and planned treatment meets insurance eligibility, benefits, limitations and coverage guidelines and that all applicable waivers are obtained prior to treatment.
• Obtains and tracks all requested, necessary and/or required pre-treatment forms.
• Follows up with insurances, residents, patients and internal teams.
• Documents/updates all actions/contact in patient accounts.
• Ensures patients accept, sign and fully understand their financial responsibilities and pay their deductibles, co-insurances, co-pays and non-covered services fees/charges in full, prior to services’ completion.
• Answers eligibility and benefit coverage inquiries.
• Communicates with residents, frontend, healthcare providers and insurances to ensure required standards are met and compliant and when applicable, makes recommendations for resolutions.

Basic Requirements:

• Bachelor’s Degree/Associate’s Degree preferred OR High School degree/GED and 1-3 years of proven compliant dental/medical healthcare financial, treatment planning or billing coordination, with insurance benefits, eligibility, limitations and guidelines.
• Must have exceptional EQ (emotional intelligence) and be customer service focused (internal and external), with excellent communication, attention to detail, organizational and interpersonal skills.
• Knowledge of pre-claims requirements for dental/medical insurances, insurance processes, billing/healthcare compliance and insurance guidelines, rules, regulations and requirements.
• Working knowledge of prior authorizations, insurance verification, including accurate and timely communication to internal team members and patients regarding financial responsibilities based on eligibility, benefits and coverage.
• Requires expert attention to detail and experience coordinating benefits.
• Needs to be driven, Excel knowledge, innovative, independent, self-starter, a leader, team player, analytical intelligence, exceptional attention to detail, ability to effectively communicate technical information, adaptable with an aptitude and willingness to learn and drive change.
• Dental coder certification (CDC) required, or within 1 year of hire date.

Preferred Qualifications:

• Bachelor’s Degree preferred.
• Certified Dental Coder (CDC) applicant with 3+ years of dental/medical insurance verification and/or financial coordination experience in a fast-paced dental/medical healthcare setting.
• Expert knowledge of Medicare, MassHealth and commercial insurance pre-claims requirements, regulations and guidelines.
• Expert knowledge axiUm software.
• Familiarity with ADA codes, CPT Codes and ICD-10 Codes.
• Experience in a fast-paced dental/medical setting.
• Knowledge axiUm software.

Special Work Schedule Requirements:
Monday - Friday 8:30 AM - 5:00 PM & night clinic coverage.

About Tufts University

This is Tufts. Tufts is a student-centered research university with a constellation of world-class schools encompassing undergraduate, graduate, professional, and lifelong learning programs. Across the university, students satisfy their intellectual curiosity, jump-start rewarding careers, and unlock bright, promising futures. Through rigorous academics, groundbreaking research, and a commitment to civic engagement and leadership, our community of students, faculty, and staff collaborate across four Massachusetts campuses to build a brighter world (Medford/Somerville, Grafton, Boston-Chinatown, and Boston-Fenway). Our employees light the way. Tufts develops innovative solutions for the most complex global challenges of our time through teaching, research, and an unparalleled investment in civic engagement. In administration and operations, in dining centers and in labs, every employee plays a role in our mission for a better, brighter world. At Tufts, the work you do matters. So do you. Enjoy flexible and remote opportunities, innovative benefits, and an inclusive, welcoming, collaborative culture that supports you. Develop your skills. Take classes. Advance your career. ...Do work that makes you proud in a community you love. All while taking great care of yourself and the people who matter most. We’re all in on creating an anti-racist culture of belonging. Across Tufts, we’ve deepened our commitment to making the university a truly inclusive place. Where every member of our community contributes and feels like they belong. Where diverse perspectives are seen as our strength, and great ideas are always heard. In offices, labs, classrooms, and beyond, we’re doing this work together, knowing it is the foundation of our mission to create a brighter world. An innovative university needs resourceful people who make things happen. Here, collaboration isn’t just a buzzword, colleagues actually care, and community means everything. Sound appealing? Come join us. Choose a campus and find the role that fits you. Tufts University is an Equal Opportunity/Affirmative Action Employer. We are committed to increasing the diversity of our faculty and staff and fostering their success when hired. Members of underrepresented groups are welcome and strongly encouraged to apply. See the University’s Non-Discrimination statement and policy here https://oeo.tufts.edu/policies-procedures/non-discrimination/. If you are an applicant with a disability who is unable to use our online tools to search and apply for jobs, please contact us by calling the Office of Equal Opportunity (OEO) at 617-627-3298 or at oeo@tufts.edu. Applicants can learn more about requesting reasonable accommodations at https://oeo.tufts.edu/

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