DENTAL BIILING SPECIALIST

ADMINISTRATIVE

NON-EXEMPT | HOURLY

REPORTS TO: OPERATIONS MANAGER

SUMMARY

The Dental Billing Specialist provides support to our dental practices through managing the account receivables cycle from processing of claims, posting of insurance payments, claims appeal and resubmission, and collection of any outstanding patient balances.

ESSENTIAL FUNCTIONS

• Resolve discrepancies by examining and evaluating data
• Experience in account ledger balance auditing is a plus
• Processing timely and appropriate billing from payers.
• Reviewing patient accounts to ensure accuracy and completeness of claims billing for maximum reimbursement.
• Providing information to insurance carriers or patients regarding patient accounts
• Must be able to understand Dental Billing, Payment Posting, Cash Posting & Dental Reimbursements.
• Working knowledge of dental terminology, CDT codes, and revenue codes for billing are required.
• Ability to effectively present information and respond to questions from patients regarding their account balance.
• Pull reports weekly to assess office status and work need
• Track production and work completed - including daily work assigned by leadership
• Utilize balance sheet to balance bank amounts with practice management system amounts
• Adjust patient bills by reviewing remittance advice
• Answer any billing questions or patient issues
• Resolve discrepancies by examining and evaluating data
• Post and review unapplied payments regularly to ensure statement accuracy
• Review’s patient accounts marks corrections as needed.
• Monitoring and reconciliation of claims

OTHER DUTIES

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

REQUIRED SKILLS & ABILITIES

• Strong verbal and written communication skills
• Perform duties in accordance with Practice policies
• Maintain a consistent record of predictable and reliable attendance
• Maintain a professional appearance and demeanor, handle situations with grace and poise
• Perform tasks with accuracy, efficiency, and by specified deadlines
• Assist team members if needed; view cross-training duties with a “team-first” mentality
• Maintain strict compliance with State, Federal, and other regulations HIPAA, OSHA, and ADA

EDUCATION & EXPERIENCE

• A High School diploma or GED is required.
• 1-2 years of experience in the dental insurance billing field.

PHYSICAL REQUIREMENTS

_Prolonged periods of seating while performing job _

Must be able to lift up to 15 pounds at times.