2 Dental Billing Representative (FT) Jobs in Winter, FL

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Dental Billing Representative (FT)

Community Health Center

Winter, FL | Full Time

$68k-94k (estimate)

1 Month Ago

Dental Billing Clerk @ Dental Associates FL - Winter Haven

Dental Care Alliance

Winter, FL | Full Time

$41k-53k (estimate)

1 Month Ago

Dental Billing Representative (FT)

$68k-94k (estimate)

Full Time | Social & Legal Services 1 Month Ago

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Community Health Center is Hiring a Remote Dental Billing Representative (FT)

Dental Billing Representative - Winter Garden/Hybrid Remote
CHC follows the CMS requirements which requires all team members to obtain a COVID-19 vaccination.

A career at Community Health Centers offers a unique opportunity to join a team that makes a real impact in our community every day, by improving individuals' health while enhancing their quality of life.

Top Reasons to work at Community Health Centers

A great benefits package that includes healthcare coverage, paid time off, paid holidays, retirement plan, and more.
Competitive compensation with advancement opportunities and tuition / training reimbursement.
Awarded “Best and Brightest Companies to Work for in the Nation” in 2018, 2019, 2020, and 2021.
Awarded “Top 100 Workplaces for Growing Families” by Orlando Sentinel.
Modernized and attractive health centers, that patients love.

Job Summary:

The Dental Billing Representative will review all assigned claims for billing accuracy and compliance with payer policies and requirements. Responsible for filing and ensuring all third-party payer claims are paid timely. Responsible for completion of all duties and reports listed on the Billing Guidelines.

Primary Responsibilities and Duties:

Review claims for accurate CDT coding, accurate tooth number and surfaces and submit following individual dental payer guidelines.
Reviews claims for accuracy in accordance with Medicaid and Managed Care policies.
Reviews dental module for frequencies, x-rays and documentation required for narratives
Utilize dental payer portals to submit corrected claims and claims requiring X-rays and narratives.
Transfers balances to patient’s responsibility on non-covered items, benefits denied, or charges applied to the deductible.
Researches and ensures corrections are made on denied claims due to missing or incorrect information.
Ability to check dental insurance eligibility and review benefits, frequencies and patient history.
Dental Payment posting along with the posting of insurance and patient refunds
Performs insurance collection (follow-up) function utilizing the collection system management and aging reports. As a part of this function generates and reviews aging reports to submit to insurance carriers when appropriate and in accordance with established guidelines.
Runs paper claims when necessary and submits claims to appropriate fiscal intermediary.
Prepares all refund paperwork for accounts payable and enters adjustments into the eClinical Works (eCW) System.
Maintains current knowledge of all Medicaid policies and procedure updates.

Self-Pay Collection:

Reviews and appropriately places account claims in the collection management system in eCW.
Following collection guidelines, sends collection letters and establishes phone conversations concerning outstanding balances.
Establishes payment arrangements with responsible parties for outstanding balances.
Processes all returned mail according to established policy and procedure.
Processes all incoming patient correspondence and answers all patients’ questions regarding their account balance.
Processes electronic file for monthly patient statements.
Makes necessary adjustments to correct patient accounts for correct billing.
Provides recommendations to Billing and Coding Manager regarding account disposition (collection agency placement, write-off discharge, etc.).
Reports billing challenges to the Billing & Coding Manager and/or Patient AR Manager.
Answers questions related to insurance and patient dental billing for all internal/external customers.
Ensures accuracy of payments received from third party payers per contracts and current reimbursement rates.
Posts contractual adjustments as required to Medicaid, HMO, PPO and other accounts per contracts and current reimbursement rates.
Collects and posts payments and completes appropriate forms/reports and submits daily to Billing and Coding Manager and Bookkeeper.
Performs all other duties as assigned.

Qualifications:

Education:

High School Diploma or equivalent is required.

Experience:

One year of dental billing and collection background and experience in a physician practice setting is required.
Must be experienced in working with eClinical Works or other similar medical software products.
Must have basic knowledge of medical terminology.
Must have good communication and customer service skills.

Certification/Special License:

Special Skills:

Must understand the billing procedures for Medicare/Medicaid, Workers Compensation, HMOs, PPOs and other managed care and commercial insurance plans.
Must have knowledge of state credit laws and regulations and generally accepted collection practices.
Ability to read, understand, and follow oral and written instructions.
Maintain patient confidentiality.
Excellent communication and customer service skills.

Other requirements: