Dental Claims Coordinator

1 week ago

Vaughan, Canada York Region Full time

Status
- Temporary Full-Time
- Temporary - Approximate length of assignment, in months
- 7
- Type of Position
- an Addition to Staff
- Start Date
- Immediate
- Salary
- Per hour
- Salary Grade
- $31.60 - $34.34
- Department
- York Region -> Community & Health Services -> Public Health -> Child and Family Health
- Location
- PH CFH - 9060 Jane Street, - Vaughan, ON L4K 2M9 CA (Primary)- Job Description (E)

**POSITION PURPOSE**

This position is responsible for providing claims coordination activities for partnering private practice dental offices within the guidelines of the Ontario Seniors Dental Care Program (OSDCP), Service Level Agreements (SLAs), as well as internal policies and procedures. Receives, reviews and processes dental claims and pre-determinations, ensuring submissions meet OSDCP guidelines and contract conditions. Provides other administrative duties to support the private practice program, including supporting process improvement initiatives. This position is the first point-of-contact for partnering private practice dental offices who need support with the OSDCP claims process.

**MAJOR RESPONSIBILITIES**
- Processes paper or electronically submitted dental claims and pre-determination inquiries from partnering private practice dental offices according to program guidelines, ensuring timely submission and accurate documentation, while maintaining the confidentiality of claims information.
- Reviews submitted claims documentation to verify eligibility of claims and adjudicates claims according to contract provisions and program guidelines and policies.
- Prepares straightforward correspondence outlining decision of claims adjudication.
- Consults with the internal dental team or Manager regarding complex dental claims that require further review and escalates as appropriate.
- Identifies discrepancies with SLAs and escalates to management for investigation.
- Responds to dental office inquiries and provides accurate information regarding dental services offered, and program policies.
- Creates, organizes, maintains and tracks client files and records in accordance with Regional standards and systems.
- Keeps current with new developments in clinical procedures, dental practice processes and workflows.
- Responds to inquiries and resolves concerns, as appropriate.
- Ensures that services provided meet Regional customer service standards.
- Participates on work groups and projects, as assigned.
- Handles information in accordance with legislation and corporate standards.
- Performs other duties as assigned, in accordance with Branch and Department objectives.

**QUALIFICATIONS**
- Successful completion of a high school diploma and post-secondary dental-related certification, or related field, or approved equivalent combination of education and experience.
- Minimum three (3) years of dental administration experience, dental experience, or dental adjudication or claims experience.
- Satisfactory Vulnerable Sector Check.
- Knowledge of current dental laboratory and clinical procedures, dental practice processes and workflows.
- Knowledge of the relevant dental programs.
- Excellent organizational skills and strong attention to detail.
- Written and verbal communication skills and demonstrated ability to clearly and accurately convey information.
- Demonstrated ability in the Region’s core competencies.
- Council Approval Date
- Scheduled Weekly Hours
- 35
- Scheduled Shifts
- Operational Hours
- Close Date
- February 12, 2024
- # of Hires Needed
- 1
- Union
- CUPE 905 York Region
- .

York Region is an equal opportunity employer committed to an inclusive, barrier-free recruitment and selection process. At the Region, we respect, encourage and celebrate our diversity. If contacted for an employment opportunity, please advise if you require Code-protected accommodation.

  • Experienced Dental Receptionist/manager

    2 weeks ago

    Vaughan, Canada Maple Dental Centre Full time

    **About the Job** - We are a thriving boutique dental office in search of a Dental Administrator to join our dynamic team. Your primary responsibility will be to ensure the seamless operation of our office and provide unparalleled support to our patients. **Experience in Canadian dental administration and insurance claims is a must. START DATE: July 1,...

  • Experienced Dental Receptionist/manager

    1 week ago

    Vaughan, Ontario, Canada Maple Dental Centre Full time

    About the Job We are a thriving boutique dental office in search of a Dental Administrator to join our dynamic team. Your primary responsibility will be to ensure the seamless operation of our office and provide unparalleled support to our patients. Experience in Canadian dental administration and insurance claims is a must.START DATE:July 1, 2024.Key...

  • Experienced Dental Receptionist/Manager

    2 weeks ago

    Vaughan, Canada Maple Dental Centre Full time $28 - $33

    About the JobWe are a thriving boutique dental office in search of a Dental Administrator to join our dynamic team. Your primary responsibility will be to ensure the seamless operation of our office and provide unparalleled support to our patients. Experience in Canadian dental administration and insurance claims is a must. START DATE: July 1, 2024.Key...

  • Experienced Dental Receptionist/Manager

    2 weeks ago

    Vaughan, Canada Maple Dental Centre Full time

    About the JobWe are a thriving boutique dental office in search of a Dental Administrator to join our dynamic team. Your primary responsibility will be to ensure the seamless operation of our office and provide unparalleled support to our patients. Experience in Canadian dental administration and insurance claims is a must. START DATE: July 1, 2024.Key...

  • Experienced Dental Receptionist/Manager

    2 weeks ago

    Vaughan, Canada Maple Dental Centre Full time

    We are a thriving boutique dental office in search of a Dental Administrator to join our dynamic team. Your primary responsibility will be to ensure the seamless operation of our office and provide unparalleled support to our patients. Experience in Canadian dental administration and insurance claims is a must. START DATE: July 1, 2024.Key...

  • General Manager

    4 weeks ago

    Vaughan, Canada Anytime Dental Full time

    **About our Clinics within Anytime Dental Group** We’re a fast growing, newly established company that has nine clinics throughout Ontario, with four additional clinics being built throughout 2024. In the summer of 2023, we started our journey to build a central support team and bring our clinics underneath the banner of Anytime Dental Group. We believe...

  • General Manager

    23 hours ago

    Vaughan, Canada Anytime Dental Full time

    **About our Clinics within Anytime Dental Group** We’re a fast growing, newly established company that has nine clinics throughout Ontario, with four additional clinics being built throughout 2024. In the summer of 2023, we started our journey to build a central support team and bring our clinics underneath the banner of Anytime Dental Group. We believe...

  • Dental Receptionist

    2 weeks ago

    Vaughan, Canada Woodbridge dental Full time

    '''Duties''' - Greet and welcome patients as they arrive at the dental office - Answer phone calls and schedule appointments for patients - Verify insurance coverage and assist with insurance claims processing - Collect and record patient information, including medical history and personal details - Manage patient records and ensure they are accurate and...

  • Dental Receptionist

    3 weeks ago

    Vaughan, Canada BiteCraft Dental Full time

    **Company description** We are a state-of-the-art dental practice located in Woodbridge (Vaughan), all-digital, with a proactive mindset, teamwork, and communication culture, positive work environment, and modern style, looking for a friendly and competent Dental Receptionist part-time. **Job description** - **In this position, you will **_ - Greet...

  • Experienced Dental Receptionist/Office Manager

    1 month ago

    Vaughan, Canada Maple Dental Centre Full time

    We are a thriving boutique dental office in search of a Dental Administrator to join our dynamic team. Your primary responsibility will be to ensure the seamless operation of our office and provide unparalleled support to our patients. Experience in Canadian dental administration and insurance claims is a must.  START DATE: June 3, 2024.Key...

  • Dental Receptionist

    2 weeks ago

    Vaughan, Canada BiteCraft Dental Full time

    **Company description** We are a state-of-the-art dental practice located in Woodbridge (Vaughan), all-digital, with a proactive mindset, teamwork, and communication culture, positive work environment, and modern style, looking for a friendly and competent Dental Receptionist. **Job description** - **In this position, you will **_ - Greet visitors, new and...

  • Dental Receptionist

    4 weeks ago

    Vaughan, Canada BiteCraft Dental Full time

    **Company description** Welcome to our state-of-the-art dental practice located in Woodbridge (Vaughan). We are an all-digital office with a proactive mindset, a strong emphasis on teamwork and communication, and a positive work environment. If you are a friendly and competent Dental Receptionist seeking to work part-time, we invite you to join our...

  • Dental Office Administrator

    1 month ago

    Vaughan, Canada Maple Dental Centre Full time

    We are a thriving boutique dental office in search of a Dental Administrator to join our dynamic team. Your primary responsibility will be to ensure the seamless operation of our office and provide unparalleled support to our patients. Experience in dentistry is a must, as you will play a pivotal role in our patients' oral health journey. **Key...

  • Dental Office Administrator

    1 week ago

    Vaughan, Canada Tooth Connection Dental Full time

    We are looking for an enthusiastic individual who can work well in a small group environment and who has experience with Dentrix ; must have experience working in a dental office; Our office is fully paperless and high tech, computer skills is a must! This position is for front desk and it includes greeting patients, booking appts, answering the phone,...

  • Pediatric Dental Administrative

    2 months ago

    Vaughan, Canada Dental Works 4 Kids Full time

    PEDIATRIC DENTAL ADMINISTRATIVE / TREATMENT COORDINATOR A unique opportunity to join the Dental Works 4 Kids & Align Orthodontics team. Our guiding principles are that of Operational Excellence, Patient Intimacy, Teamwork Support and Consistency in our Values. We have a great team in place and are looking to enhance our organization by growing this team...

  • Pediatric Dental Administrative

    3 weeks ago

    Vaughan, Canada Dental Works 4 Kids Full time

    PEDIATRIC DENTAL ADMINISTRATIVE / TREATMENT COORDINATOR A unique opportunity to join the Dental Works 4 Kids & Align Orthodontics team. Our guiding principles are that of Operational Excellence, Patient Intimacy, Teamwork Support and Consistency in our Values. We have a great team in place and are looking to enhance our organization by growing this team...

  • Bilingual Disability Claims Coordinator

    2 months ago

    Vaughan, Canada GFL Environmental Full time

    Reporting to the Manager of Disability Management, the Disability Claims Coordinator is responsible for proactive end-to-end occupational and non-occupational claims across Canada. Key Responsibilities: - Access, review and process non occupational and occupational claims - Manage the claims and return to work process, including the timely completion of...

  • Bilingual Disability Claims Coordinator

    2 months ago

    Vaughan, Canada GFL Environmental Inc. Full time

    Reporting to the Manager of Disability Management, the Disability Claims Coordinator is responsible for proactive end-to-end occupational and non-occupational claims across Canada. Key Responsibilities: - Access, review and process non occupational and occupational claims - Manage the claims and return to work process, including the timely completion of...

  • Intermediate Claims Adjudicator

    2 weeks ago

    Vaughan, Canada People Corporation Full time

    We are seeking a Intermediate Claims Adjudicator to join our BPA team in North York. The Intermediate Claims Adjudicator provides timely and accurate adjudication and reimbursement of benefit claims submitted by members covered under the L.I.U.N.A. Local 183 Member’s Benefit Trust Fund. He or she provides courteous and professional customer service while...

  • Claim Specialist

    1 week ago

    Vaughan, Ontario, Canada Alectra Utilities Inc. Full time

    Remote/In-office)Manager, People Relations & Claims Abilities ManagementBusiness Unit:People & SafetyPeople & SafetyOur Hybrid Workplace policy allows for an effective balance for employees with the opportunity to work in a hybrid environment; a combination of Remote / In-office work based on operational requirements.The Specialist, Claims and Abilities is...