Dental Billing Specialist

Title:  Dental Billing Specialist  I

Department: Operations

Status: Non-Exempt

Position Classification/Category: Clerical

Level: N/A

Location: Float through CRCHC Sites

Hourly Pay Range:

Reports To: Dental Operations Manager

Direct Reports: N/A

Summary of Position

Under the direct supervision of the Dental Operations Manager, the Dental Billing Specialist I  is responsible for timely and accurate billing of all dental claims, insurance information, patient charges, and payments. The Dental Billing Specialist will work on a team in various aspects of dental billing and third-party provider credentialing.  This individual should be resourceful, exceptionally detail-oriented and organized to be successful in this role. Having the ability to focus as well as shift gears as needed when handling competing priorities is required. The Dental Billing Specialist may serve in a support role within dental registration duties as needed.

Minimum Qualifications

Ability to read, write and comprehend the English language.  Communicates effectively. Must be able to sit and stand for long periods of time.  Ability to effectively maintain confidentiality of records and communicate with all levels of personnel.

·         Experience: One year of clerical experience in an office setting; preferably dental office

Additional skills required: Requires excellent organizational, problem solving and critical thinking skills. Strong basic computer skills required. Able to maintain confidentiality and work collaboratively in a team environment.   

Travel required: None.

Additional skills preferred: Bilingual in Spanish and English

Education: High school diploma or GED. Associate’s degree preferred.

Certification(s)/Licensure: N/A

Physical Requirements:

The physical demands described here represent those that must be met by an employee to successfully perform the essential functions of this job.

·         Repetitive movement of hands and fingers – typing and/or writing.

·         Occasional standing, walking, stooping, kneeling, or crouching.

·         Reach with hands and arms.

·         Talk and hear.

Key Responsibilities

1.       Experience in dental, medical billing and AR oversight/investigation is required for this role.

2.       Assist patients with billing questions.

3.       Answer incoming phone calls.

4.       Claims filing related to dental and medical.

5.       Accurately and efficiently posting/applying payments.

6.       Complete Dental requests for all CRCHC locations in terms of prior authorizations and referrals.

7.       Review patient chart for records requiring updating and perform necessary updates.

8.       Create patient claim, collect payment, and document payment in electronic health record.

9.       Troubleshooting and follow through for open issues related to unidentified payments, insurance retractions and payment discrepancies.

10.    Matina internal provider spreadsheet to ensure all information is accurate and logins are available.

11.    Assisting in researching and resolving claim denials, patient refunds, and collections follow-up.

12.    Compose messages to provider/staff regarding patient communication. 

13.    Maintain a clean, neat, and well-organized work area.

14.    Verification of patient insurance plans.

15.    Entering insurance plan information in practice management software.

16.    Participate in quality improvement activities by initiating or contributing to monitoring, measuring, analyzing, improving and/or controlling program goals, objectives and/or services.

17.    Perform other duties as assigned.