What are the responsibilities and job description for the Dental Billing/Coding Specialist position at Atchison Community Health Clinic Inc?
Responsible for entering and coding dental patient services into eCW and generating claims to be sent to insurance companies and the patients. Work to maximize insurance reimbursement and minimize patient liability.
Duties and Responsibilities:
1. Translate, read and analyze dental records to determine the correct code(s) and enter the patient information into eCW.
2. Handle information about patient treatment, diagnosis and related procedures to ensure proper coding.
3. Submit primary and secondary dental claims to insurance and other third party payers.
4. Follow up on unpaid dental claims. Identify and review delinquent accounts and call for resolution.
5. Review bills and correct any missing or inaccurate information and ensure reimbursement from insurance company is correct.
6. Follow up and follow through to see if claim is accepted or denied.
7. Investigate rejected claims to see why denial was issued.
8. Resolve conflicts regarding payment and reimbursement.
9. Interact and respond to customers in writing, over the phone, in person and/or email.
10. Verify dental insurance coverage and eligibility for services.
11. Investigate and appeal claims that were denied.
12. Respond to dental records requests and invoice the requestor.
13. Post all insurance payments and patient payments received.
14. Scan patient documents and RAs into the appropriate folders.
15. Receive faxes and route to the appropriate staff.
16. Provide information and prepare documents for legal inquiries and litigation.
17. Represent the clinic to the community in a consistently positive and effective manner.
18. Participate in on-going conference calls, webinars, and other professional development opportunities.
19. Perform clerical duties that may include answering phones, greeting patients, and sorting mail.
20. Provide coverage for front desk and call center.
21. Maintain strict confidentiality. Must comply with HIPAA.
22. Communicate with Providers, front office staff and patients to ensure accurate and prompt billing and collection.
23. Communicate with insurance companies to maintain proper coding policy and procedures.
24. Other duties as assigned.
Requirements:1. Must effectively interact with patients and co-workers.
2. Must have the ability to communicate in written and verbal form.
3. Thorough and organized.
4. Ability to work as a team member. Must be able to work with Providers, Nurses, insurance companies and other staff to create accurate medical record.
5. Understanding of primary code classifications.
6. Attention to detail is a must. Accuracy is very important in medical records, for diagnosis, treatment and billing.
7. Must be able to read medical records and decide the best way to record the charges.
8. Must be able to work with Providers, Nurses and insurance companies to ensure accuracy.
9. Maintain patient confidentiality and information security.
10. Analytical and problem solving skills. Must be able to read medical records and decide the best way to record the data.
11. Excellent verbal, listening and written communication skills.
12. Able to manage multiple projects, prioritize and meet deadlines.