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 Administrator and works closely with school clinics it supports: Clinic Business Operations, Dental Faculty Practice, Craniofacial Pain and Sleep Center, Oral Medicine, Oral and Maxillofacial Pathology, Tufts Dental Facilities and Tufts Community Dental Program.
Clinic Business Operations (CBO) supports the clinical and education efforts within the Pre-doctoral, Postgraduate and Specialty clinical treatment areas of the School and is responsible for all patient care services billing for these clinics, as well as supporting IRB clinical study patients and maintaining CITI certification. The Postgraduate Clinics (residents) are the Specialty Clinics, which includes: Endodontics, Orthodontics, Periodontics, Prosthodontics, Pedodontics and Oral and Maxillofacial Surgery.
The Craniofacial Pain Center specializes in the diagnosis and treatment of complex painful disorders of the head and neck region. The mission of our Center is to provide a comprehensive diagnostic evaluation, a concise and coordinated management plan in a holistic, integrated biomedical patient-focused manner.
The Oral Medicine Clinic is dedicated to improving the quality of life in high risk and medically compromised populations by engaging in basic and translational research to promote general health through good oral health practices.
Oral and Maxillofacial Pathology is a dentistry specialty that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates that causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research, diagnosis of diseases using clinical, radiographic, microscopic, biochemical or other examinations and management of patients.
Tufts Dental Facilities for Persons with Special Needs (TDF) is a network of seven outpatient clinics that provides dental care to approximately 7,000 developmentally disabled patients in the state of Massachusetts under the umbrella of TUSDM and in partnership with the Massachusetts Department of Public Health (DPH) and the Massachusetts Department of Developmental Services (DDS). Additional patient treatment is provided in the operating room setting at four affiliated hospitals within the state. The TDF program also provides a venue for teaching General Practice Residents through the Tufts GPR Program and 4th year dental students from TUSDM.
Tufts Community Dental Program (TCDP) is a mobile program that provides dental services to children at schools across the state of Massachusetts that otherwise would not have access to dental care.
Under limited supervision, this individual provides leadership and work direction to billing staff. The Billing Lead is responsible for providing excellent customer service in creating and submitting patient charges and claims to 3rd party dental insurance companies; sending out patient responsibility letters; reviewing claims and charges for accuracy; resubmitting and/or appealing denied claims; posting payments, recoupments and adjustments to patient accounts; answering complex billing related inquiries and working on aged patient accounts.
Bachelor’s Degree/Associate’s Degree preferred or High School degree/GED and 3-5 years of experience in the finance field or in a related area and dental/medical healthcare knowledge.
Needs to be driven, Excel knowledge, innovative, independent, self-starter, a leader, team player, analytical intelligence, exceptional attention to detail, healthcare business or insurance knowledge, ability to effectively communicate technical information, aptitude and willingness to learn and drive change.
Dental coder certification (CDC) required, or within 1 year of hire date.
Bachelor’s Degree preferred.
Certified Dental Coder (CDC) applicant with 4 - 6 years of medical/dental insurance coding/billing.
Knowledge of third party billing.
Knowledge of MassHealth and Medicare regulations and guidelines, as well as commercial dental/medical insurance coding/billing practices.
Familiarity with ADA codes, CPT Codes and ICD-10 Codes. Experience in a fast-paced dental/medical setting.
Knowledge axiUm/Dentrix software.
Special Work Schedule Requirements:
Dental Clinics, 40 hour work week, hours are Monday- Friday 8am-5pm
An employee in this position must complete all appropriate background checks at the time of hire, promotion, or transfer.
Equal Opportunity Employer – minority/females/veterans/disability/sexual orientation/gender identity.