Description

Parent Company Summary – Forge Specialty Partners

Forge Specialty Partners is a non-traditional DSO (Dental Service Organization) started in 2023 by the owners of Charleston Oral and Facial Surgery with the goal of providing the benefits of a larger organization without selling a company entirely to a third party interest, backed by Private Equity shareholder investments, and turning clinician-owners into employees. Though Forge is the parent company and acts formally as the employer, the position to which you are applying will only focus on the activities of two affiliate companies: Charleston Oral and Facial Surgery, and Savannah Oral and Facial Surgery. 

Practice Summary – Charleston Oral and Facial Surgery

Charleston Oral and Facial Surgery (COAFS) has been in practice in the Charleston area since 2005, originally located on James Island on Wappoo Creek Drive. In the last 19 years, the practice has grown from a single provider, single location office to a 10-locaion, 8-provider practice serving the greater Lowcountry. Headed by the three owners - Dr. Edward Strauss, Dr. Aaron Sarathy, and Dr. Drane Oliphant - the COAFS team is driven by the goal of providing the “Ultimate Patient Experience – every single time” for all patients and referring providers. The growth planned for 2025 and beyond will allow the COAFS experience to reach a greater patient population in the Charleston, Hilton Head Island, and Savannah regions.? 

Mission

Our mission is to provide our patients with exceptional oral and maxillofacial care through state-of-the-art procedures delivered by a caring and dedicated staff. Here at COAFS, we are constantly striving to be the premiere oral and maxillofacial surgery provider in the Southeast. The success of our brand is based on collaborative leadership, compassion, constant learning, and the use of cutting-edge technology, that will leave our patients and our team with the ultimate experience.? 

Vision

We want to increase access to high quality specialty care to the residents of the greater Lowcountry by continuing to increase our regional footprint, reducing costs to patients through increasingly tailored digital workflows at the cutting-edge of the industry, and by prioritizing people over profits.? 

Purpose

Our purpose is to provide services and education to improve dental health, facial aesthetics and oral function, resulting in a healthier population. 

Position Summary

Provides insurance verification support for a multi-surgeon office, for all locations, to ensure timely and accurate benefits are presented to patients at their appointments. This position interacts telephonically with insurance companies, patients, patients’ families and referring offices regarding patient information and dental benefits and serves as a resource in a team environment. The Insurance Verification Specialist must maintain excellent relations with insurance companies, interpret operating policies and exercise independent judgment in relation to insurance policy information.  

This position is full-time with working hours between 8:00a-5:00p Monday through Friday. The position is remote based. 

Requirements

Position Responsibilities

The primary responsibility of this position is to provide support to patients and our admin staff by verifying patients’ insurance benefits. This position will be responsible for the following: 

• Utilizes appropriate telephone etiquette to protect the reputation of the organization and provide positive patient experience 
• Utilizes appropriate email etiquette 
• Maintains full compliance with federal HIPAA standards in the protection of confidential health or identifying patient information 
• Enters patient insurance demographics into practice software and corrects inaccurate information, as needed 
• Ensures all verifications are completed three days prior to a patient’s scheduled appointment by utilizing carrier portals, faxbacks, and/or calls with carrier representatives 
• Possess comprehensive understanding and knowledge of dental insurance coverages, benefits, coordination order, and practice billing standards 
• Communicates anticipated non-covered balances to patients and documents the applicable appointment and/or account accordingly 
• Updates existing treatment plan estimates as required if reverification identifies a change in benefits or coverage from the time of the original estimate 
• Monitors the Insurance Verification email inbox and returns standard request emails within 1 hour and urgent request emails within 20 minutes 
• Provides recommended updates to carrier and/or plan exclusions and limitations to Billing Specialist as patterned changes to known benefits by carrier and/or plan are recognized 
• Perform responsibilities in alignment with a pre-determined error rate when a random chart audit is conducted