Dental Billing Specialist

Under limited supervision, the Dental Billing Coordinator assists the revenue cycle team in processing and follow up with dental claims.
Essential Duties and Responsibilities:

• Verification of commercial dental insurance for private pay patients.
• Communicate with patients and or patient advocates dental coverage including but not limited to annual deductibles, exclusions and limitations.
• Review dental claims and patient ledgers for accuracy; ensure X-rays are clear and match documentation.
• Submit and follow up on dental claims for assigned market.
• Ability to build relationships with insurance carriers to get dental claims paid timely.
• Ability to read and interpret explanation of benefits and resolve any errors and or denials.
• Determine when claims must be appealed and follow up on the appeal.
• Work closely with dental and clinical practice managers regarding insurance carrier information and advising them of specific requirements.
• Auditing accounts for accuracy; resolve any discrepancies.
• Posting payments accurately and timely. Ensure receipts or statements are sent to patients or patient advocates.
• Process and understand daily, weekly and monthly reports.
• Answer incoming calls and provide superior customer service to patients and or patient advocates.
• Daily bank deposits.
• Ability to manage multiple projects and daily tasks.
• Comfortable making patient collections calls to reduce accounts receivable.
• Adhere to federal, state and local regulatory laws (including collection laws).
• Excellent communication, problem solving and computer skills.
• Other duties as assigned.

Competencies:
To perform the job successfully, an individual should demonstrate the following competencies:

• Customer Service: Manage difficult situations; responds promptly to needs of patients and advocates; solicits feedback to improve service; responds to requests for assistance; meets commitments.
• Interpersonal skills: Focuses on solving conflict; maintains confidentiality; listens to others without interrupting; keeps emotions under control; remains open to others' ideas.
• Written Communication: Writes clearly; edits work for spelling and grammar; presents numerical data accurately; able to read and interpret information.
• Teamwork: Balances team and individual responsibilities; exhibits objectivity; welcomes feedback; contributes to building a positive team spirit; puts success of team above own interests; able to build morale and attain group commitments and goals.
• Managing People: Staff planning, decision making and process improvement; takes responsibility for team's activities; makes oneself available to staff; develops teams' skills and encourages growth.
• Professionalism: Approaches others in a tactful manner; reacts well under pressure; treats others with respect and consideration.
• Ethics / Diversity: Shows respect and sensitivity for cultural differences; educates others on the value of diversity; treats people with respect; keeps commitments and inspires the trust of others.
• Safety and Security: Observes and enforces safety and security procedures; reports and corrects potentially unsafe or hazardous conditions; ensures compliance of company policies and procedures.

Qualifications:
To perform the job successfully, and individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Language Skills: Ability to read and interpret documents including but not limited to compliance and safety documents; policy and training manuals, routine reports, and correspondence; speak effectively and present information to individuals in the organization.
• Mathematical Skills: Ability to apply basic math skills; work with concepts such as fractions, percentages, ratios, and proportions to practical situations; effectively calculate figures such as discounts, etc.
• Reasoning Ability: Ability to solve practical problems and deal with a variety of variables in situations where high level of standardization exists; interpret instructions furnished in written or oral form.
• Computer Skills: An individual should have intermediate knowledge of dental practice management software and Microsoft office and internet software.

Education and or Experience:

• MUST have dental experience. Previous front desk dental experience preferred.
• High school diploma or equivalent.
• Strong knowledge of dental CDT codes.
• Proficient in Microsoft office.
• Carestack - practice management software a plus.

Physical Demands:

• The physical demands described here are a representative of those that must be met by an employee to successfully perform the essential functions of the position. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
• While performing the duties of the position, the employ is frequently required to stand, walk, sit, use hands to type on keyboard, reach with hands and arms and life and or move up to 45 pounds.

Work Environment:

• The work environment characteristics described here are representative of those an employee encounters when performing the essential duties of this job. Reasonable accommodations made be made to individuals with disabilities to perform the essential functions.