What are the responsibilities and job description for the Dental Billing Specialist (On-Site) position at MyCare Health Center?
GENERAL DESCRIPTION:
Under the guidance of the Revenue Cycle Manager the Dental Billing Specialist is responsible for the timely and accurate submission of all service related claims for payment, posting of patient and insurance payments. Review & “working” of denied and un-responded to claims. This position will maintain close relationships with the customer representatives for third party payers and will work with various entities to ensure proper provider credentialing and enrollment.
ESSENTIAL FUNCTIONS:
- Review provider coding for obvious errors, querying the provider when needed. Submit clean claims for payment to insurance companies.
- Processes payments from insurance companies, posting to the appropriate claim, making any needed adjustments and/or balance transfers.
- Processing secondary insurance claims.
- Answer questions from patients, clinic staff, and insurance companies.
- Identify and resolve patient billing complaints.
- Prepare and mail patient account statements.
- Evaluate patient financial status and establish budget payment plans within given parameters.
- Follow and the report status of delinquent patient accounts.
- Performs various collection actions, including contacting patients by phone.
- Prepares ad-hoc account reports as needed.
- Maintains current knowledge of ICD10 and CDT coding standards and Medicaid/Medicare requirements.
- Assist Revenue Cycle Manager with periodic projects and assignments as needed.
- Conducts self in accordance with company employee manual.
- Conduct oneself with the highest level of integrity and ethics.
- Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
QUALIFICATIONS:
- High School Diploma or equivalent
- Certification in Dental coding and billing preferred.
- 3 years’ experience in Dental Billing and Collections preferred.
- Must be able to communicate effectively.
- CPR Certification offered-not required.
SKILLS/EXPERIENCE:
- Knowledge of Dentrix highly preferred
- Knowledge of insurance guidelines, especially Medicare and Michigan Medicaid
- Understanding of basic dental coding and billing
- Basic Excel skills
- Ability to operate a computer and basic office equipment.
- Demonstrated customer service skills.
- Ability to read, understand, and follow oral and written instructions.
- Ability to establish and maintain effective working relationships with patients,co-workers and the public
- Must be well organized and detail oriented.
- Dedicated to the MyCare mission.
ENVIORMENTAL:
Normal office environment. Occasional overtime may be required.
BENEFITS:
- 401(k) matching
- Dental insurance
- Disability insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
MyCare Health Center is an Equal Opportunity Employer. Applicants will be considered for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristics protected by applicable law
