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MEDICAID PROGRAM, FINANCE COORDINATOR, School of Dental Medicine, Office of Clinical Finance
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Full-time
- The Clinical Finance Office seeks a Dental Financial Coordinator to oversee the workflow of dental clinical finances related to state Medicaid/Medicare programs, including MassHealth and other identified programs administered by Dentaquest and Skygen/Scion.
- The incumbent will assist the Billing and Claims Manager with effectively managing the BUGSDM Accounts Receivable, in particular items billed to MassHealth and other state Medicaid programs.
- This position requires processing of claims and pre-authorizations on a daily basis from GSDM to the plan administrator(s), i.e. Masshealth/Dentaquest.
- This position is responsible to review and investigate denials from the Medicaid/MassHealth administrator(s), i.e. Dentaquest, resubmit claims, processing adjustments to accounts within system, including write-offs and billing to the patients, as appropriate.
- In addition, provide reporting on denials to the Manager and Senior Manager, i.e. frequency of denial reason, departments with recurring issues, etc.
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