Dental Billing Representative

Job Description

Job Description

Position Summary

The Billing Representative for Progressive Oral Surgery assists the Billing Manager with the overall operations of the organization's billing department. A billing representative must have strong analytical and communication skills to manage clients' accounts, as well as comprehensive knowledge on the accounting industry to explain the payment terms and policies of an organization to a client.

Duties and Responsibilities

• Analyze and correct claim denials and rejections
• Post and monitor Explanation of Benefits (EOB), enter insurance payments and EOBs into patient charts
• Reconcile accounts receivable ledger
• Post payments to general ledger and conduct daily cash reconciliation
• Identify billing issues and account errors and report directly to Billing Manager
• Monitor write-offs and other ledger adjustments
• Manage incoming/outgoing mail, answering phones, and responding to emails
• Organized and precise data entry, documentation, and coding for patient accounts
• Review patient statements for accuracy, completeness and obtain any missing information
• Handle confidential patient information with professional discreet
• Review, modify, document denial reason code, correct and regenerate denied claims
• Maintain communication with assigned Insurance Provider Representatives on any claim issues that may arise
• Answer all patients or insurance telephone inquiries pertaining to account information
• Strive to provide a superior patient customer service
• Provides support to front desk inquiries related to insurance participation and fee schedules
• Process and correct all returned or undeliverable mail
• Ensure all clients remain informed on their outstanding debts and deadlines
• Process weekly e-statements for outstanding patient balances and process and send accounts to collection agency when necessary
• Correspond with the collection agencies and provide all additional information requested
• Maintain and process all recurring monthly payment plans
• Process patient reimbursements and insurance overpayments
• Reconciles all web-based patient payments and post to patient ledger
• Investigate and resolve all credit card chargebacks and returned checks

Required Skills and Qualifications

• High School Graduate/GED
• Fluency in English (reading and writing)
• Knowledge of dental or medical billing/collections/insurance terminology
• Knowledge of basic accounts receivable and accounting principles
• Proficiency in computer operations including MS Excel
• Excellent written/verbal communication skills
• Ability to handle multiple accounts and multiple priorities effectively with strong attention to monetary detail
• Ability to understand dental terminology and insurance breakdowns
• Knowledgeable with HMO and PPO dental insurance plans
• Demonstrated ability to manage time and prioritize projects to meet deadlines
• Outstanding organizational skills
• Ability to work independently and collaboratively