Billing and Insurance Coordinator

The Dental Billing and Insurance Coordinator is responsible for managing the billing processes and insurance claims in a dental practice. This role ensures that patient accounts are accurately billed, claims are submitted in a timely manner, and payments are tracked and collected efficiently. The coordinator works closely with patients, insurance companies, and the dental team to ensure the smooth operation of the billing and insurance functions.

Key Responsibilities:

• Billing and Claims Management:

• Prepare and submit accurate dental insurance claims to various insurance providers.

• Ensure all claims are submitted in a timely manner and follow up on unpaid or denied claims.

• Verify and review dental treatment plans and codes to ensure proper billing.

• Process insurance payments and ensure correct allocation to patient accounts.

• Handle patient billing, including sending statements and processing payments.

• Coordinate with insurance companies for pre-authorizations and predeterminations.

• Insurance Verification:

• Verify patient insurance eligibility and coverage before appointments.

• Confirm patient benefits, co-pays, and deductibles.

• Communicate any discrepancies or coverage issues to patients and assist in resolving them.

• Patient Communication:

• Explain insurance benefits and financial responsibilities to patients.

• Assist patients with insurance questions or concerns, including coverage and payment options.

• Provide patients with clear and accurate information about their billing statements.

• Collections and Financial Management:

• Monitor accounts receivable to ensure timely collections.

• Implement follow-up procedures for past-due accounts.

• Maintain accurate records of patient payments and outstanding balances.

• Reporting and Auditing:

• Generate regular reports on billing, collections, and outstanding claims for management review.

• Audit patient accounts and insurance claims to ensure accuracy and completeness.

• Maintain compliance with all relevant regulations, policies, and privacy laws (HIPAA).

Qualifications and Skills:

• Proven experience in dental billing and insurance coordination (typically 2 years in a similar role).

• Strong understanding of dental procedures, coding (e.g., CDT codes), and insurance processes.

• Familiarity with dental billing software (e.g., Dentrix, Eaglesoft) and claims submission platforms.

• Excellent communication and customer service skills.

• High attention to detail, accuracy, and organization.

• Ability to multitask and work efficiently in a fast-paced environment.

• Knowledge of HIPAA and patient privacy regulations.

Education Requirements:

• High school diploma or equivalent required; post-secondary education or certifications in medical or dental billing preferred.

Job Type: Full-time

Expected hours: 32 – 35 per week

Benefits:

• 401(k)
• 401(k) matching
• Employee discount
• Paid time off

Schedule:

• Day shift

Work Location: In person