Dental Billing Specialist

Dental Billing Specialist

HIGHLIGHTS

Location : Springfield , Massachusetts

Position Type : Direct Hire

Hourly / Salary : BOE

Residency Status : US Citizen

Our client is looking for a Dental Billing Specialist to join their team. The Central Billing Office Representative will be responsible for billing, correcting, and entering claim information in the billing system as assigned by leadership as part of the revenue cycle team.

Responsibilities

• Perform billing tasks, such as medical and dental claims and preauthorization submissions, ensuring to review and attach necessary x-rays, charting, and associated patient notes.
• Work closely with providers and office staff on any follow-up questions relating to patient information.
• Make appropriate corrections in DentalXChange to satisfy / edit payer requirements and resubmit claims as needed.
• Appeal complex denials through review of payer policies, coding, contracts, and medical / dental records.
• Assist department supervisor on special projects and staff training.
• Ensure that items in the assigned work queue(s) are resolved within the required timeframes, using the payer website, billing systems, and CBO pathways.
• Sort and scan the explanation of benefits (EOB) into the patient’s account. Apply adjustments as needed.
• Review and resolve uncollected accounts and prepare charge corrections.
• Review fee schedule to ensure accuracy and make corrections as necessary.
• Identify payer, provider credentialing, and / or coding issues and address them with leadership.
• Reconcile payments received to posted payments.
• Audit patient accounts for accuracy.
• Answer incoming phone inquiries and emails from patients and office staff.
• Other duties consistent with this role.

Work Environment :

This job operates in a professional office environment. This role routinely uses standard office equipment such as laptop computers, and smartphones

Physical Demands

• In the process of executing job responsibilities, the employee must consistently engage in verbal communication and auditory perception.
• The employee frequently is required to stand and walk.
• This position requires 30% - 40% travel.
• This position requires the ability to occasionally lift products and supplies, up to 20 pounds.

Qualifications / Training

• High School Degree required; Associate degree preferred.
• One (1) to two (2) years of experience working with dental and / or medical insurance billing
• Dentistry or healthcare experience preferred.
• Strong knowledge of dental insurance is preferred.
• Experience in sending / posting dental insurance claims, both general dentistry and specialty
• Ability to engage, internally and externally.
• Excellent communication skills, including the confidence to engage with all audiences

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