Dental Biller

Job Title: Dental Biller

Reports to: Junior Dental Billing Lead

Supervises: N/A

Position Summary:

The Dental Biller will ensure accurate and timely processing of invoices and insurance claims and deal with any patient queries regarding billing. Submitting and following up on claims with health insurance companies, managing accounts receivable, and coordinating with patients regarding their billing concerns.

Key Performance Areas & Key Performance Indicators:

Insurance Claims, Procedures, Billing, Managing Payment Plans & Collections (100%):

• Collecting and reviewing all patient insurance information needed to complete the biling, collections, appeal, and/or cash processes to ensure clean claims submission to insurance carriers
• Following up on dental billing and accounts receivable for all payer types.
• Processing dental insurance EOBs, appeals, denials, and following up with denial resolutions timely and accurately
• Understanding insurance EOBs and the appropriate adjustment best practices according to internal guidelines
• Posting payments received from insurance carriers and patients.
• Effectively utilizing various means for collections, including but not limited to phone, fax, mail, and online methods.
• Providing exceptional customer service to internal and external customers while resolving any requests in a timely and accurate manner and escalating complaints accordingly.
• Audit accounts for quality.
• Performs other related duties as assigned.

Minimum Qualifications:

Education:

• Highschool Diploma or GED Required

Experience:

• One year of dental revenue cycle, dental billing, dental operations or dental clinical skills
• Knowledge of Eaglesoft, Open Dental, and/or Dentrix

Skills:

• Strong customer service skills with a focus on providing timely responses to customers
• Excellent problem solving skills and decision making abilities
• Strong organizational abilities; detail oriented
• Skilled at managing multiple tasks with goals and deadlines
• Excellent verbal and written communication

Competencies:

Operations Knowledge – Thoroughly understands the operational procedures for his/her position and how they affect or relate to other departments in the company. Serves as an expert for others.

Product Knowledge – Has a broad knowledge of the products and services offered. Is aware of the features and pricing of the products and services they support. Is able to recommend the appropriate product or service that will meet the customer’s needs.

Compliance Knowledge – Extensive understanding of general and department-specific regulations. Serves as a compliance resource for the team.

Sales & Service – Guides the team to achieve goals while ensuring excellent customer service. Maintains professional communication and positive customer relationships

Teamwork – Able to build morale and group commitments to goals and objectives; Balances team and individual responsibilities; Exhibits objectivity and openness to others’ views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Supports everyone’s efforts to succeed.

Computer Skills – Demonstrates a solid understanding of the technology utilized in his/her position. Consistently looks for ways to use technology to create efficiencies. Able to troubleshoot minor problems. May serve as an expert to others.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical Strength- Employee must be able to stand and/ or sit for periods of time while waiting on customers. Employee may be required to walk, reach, lift, carry and bend. This job also requires the ability to lift and/or move up to 15 lbs. Occasionally, may need to lift more than 15 lbs.

Finger Dexterity- Employee will have to use fingers to make small movements, such as typing, picking up small objects, or pinching fingers together.

Talking- The ability to convey information accurately by speaking to customers and other employees

Hearing- Able to hear average or normal conversations and receive ordinary information.

Visual Abilities- Specific vision abilities used by this job are close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.

*Employer reserves the right to change this job description at any time, should business needs arise.*