Insurance Eligibility/Verification Specialist – Dental Center

Unleash YOUR Potential With Us 

As a next-generation public research institute, we are an inclusive community of thinkers, doers, creators, innovators, healers, and leaders striving to shape the future and solve the world’s most challenging problems. No matter what your role is, when you join Knight Nation, you’ll play an integral role in pushing us forward to become among the most impactful universities in the country. You’ll be met with opportunities to connect and collaborate with uniquely talented faculty, staff, and students across 13 colleges and multiple campuses and regional locations. That means greater challenges to tackle, more meaningful opportunities to grow, and rewarding experiences that go beyond a paycheck. We’re seeking qualified, motivated individuals who will help UCF fulfill its mission in unleashing the potential of every individual, enriching the human experience through inclusion, discovery, and innovation; and propelling broad-based prosperity for the many communities we serve. 

The Opportunity:

Join the UCF Student Health Team as the Dental Center’s Insurance Eligibility/Verification Specialist and add to our dedication to provide excellent healthcare to the community that we serve.

This position provides insurance verification of Dental Center patients and oversight of crossover data between the Dental Center and the Student Health Service (SHS) electronic medical records (EHR) system and submits claims to insurance companies for processing and payment; reviews and appeals unpaid and denied claims. This position also answers billing questions, handles unpaid accounts, manages reports, and maintains databases.

Responsibilities:  

• Performs insurance functions for the SHS Dental Center to include processing adjustments into eClinicalWorks.

• Verifies and provides insurance benefits within three (3) to five (5) business days after provided by the patient or prior to the patient’s appointment as needed.

• Reviews code diagnostic and procedural dental information as necessary for processing insurance payments.

• Initiates all phases of billing in an adequate amount of time and resubmits claims as needed.

• Processes insurance adjustments and calculates charges to be paid by patients; communicates and works cooperatively with the dental providers and other healthcare professionals to resolve coding issues, denials, and rejections.

• Reconciles patient insurance accounts and maintains dental insurance accounts receivables and runs monthly reports on same.

• Provides claims processing assistance for all students and patients participating with insurance plans, assists them with any account problem resolutions regarding past due balances, and helps students with re-submission of bills as applicable.

• Communicates and reviews patient accounts as needed, when requested by patients.

• Assists the Dental Center with answering phones, scheduling patients, and providing front desk administrative support.

• Performs other related duties as assigned.

Minimum Qualifications:  

High School Diploma or Equivalent and 2+ years of relevant experience.

Preferred Qualifications: 

• Insurance eligibility and/or verification experience in a dental practice setting.

• Excellent professional communication skills and ability to relate well with staff and students.

• Microsoft Office experience to include Word, Excel, Outlook, and Teams.

Special Instructions to the Applicants: 

This is a time-limited funded position. Employment is subject to the availability of funding and may cease at the time funding for this employment is depleted.

Are Benefits Important to You? 

Working at UCF has its perks!  In addition to helping drive change and having a positive impact by supporting our students, staff, and faculty, UCF offers: 

• Benefit packages, including Medical, Dental, Vision, Life Insurance, Flexible Spending, and Employee Assistance Program 

• Paid time off, including annual and sick leave and paid holidays

• Retirement savings options 

• Employee discounts, including tickets to many Orlando attractions 

• Education assistance 

• Flexible work environment 

• And more…For more benefits information, go to UCF Employee Benefits Guide (12-14-21) 

Who Are We? 

Founded in 1963 to fuel the region’s talent pipeline and support the growing U.S. space program, UCF is built to make a better future for our students and society. It’s one of the reasons U.S. News & World Report ranks UCF among the nation’s top 20 most innovative colleges, while Forbes, Kiplinger, and The Princeton Review rank us a best-value university. UCF is one of 14 universities nationwide designated as both a Hispanic-Serving Institution and a Research 1 university. With 13 colleges, including a fully accredited College of Medicine, UCF offers more than 220-degree programs between its main campus, downtown campus, hospitality campus, academic health sciences campus, and 11 UCF Connect centers located throughout the region. In addition, UCF extends its reach to communities in and beyond Central Florida by offering complete, online programs leading to bachelor’s degrees, master’s degrees, Ph.D.’s., certificates, and more. 

Unless explicitly stated on the job posting, it is UCF’s expectation that an employee of UCF will reside in Florida as of the date the employment begins.

Department

Academic Health Sciences Center (AHSC) – Health Center Operations

Work Schedule

Monday through Friday, 8:00am-4:30pm. Hours are subject to change due to operational needs, special projects, and emergencies.

Type of Appointment

Fixed Term (Fixed Term)

Expected Salary

$15.66 to Negotiable

Veteran’s Preference:   

Preference will be given to eligible veterans and their eligible spouses in accordance with Chapter 295 of the Florida Statutes. Applicants claiming preference are responsible for providing required documentation by the closing date of the position. For more information on Veterans’ Preference, please visit http://hr.ucf.edu/files/VeteransPreference.pdf

Equal Employment Opportunity Statement:

As an equal opportunity/affirmative action employer, UCF encourages all qualified applicants to apply, including women, veterans, individuals with disabilities, and members of traditionally underrepresented populations. UCF’s Equal Opportunity Statement can be viewed at  http//www.oie.ucf.edu/documents/PresidentsStatement.pdf. As a Florida public university, UCF makes all application materials and selection procedures available to the public upon request. The University of Central Florida is proud to be a smoke-free campus and an E-Verify employer.