Billing Specialist Dental

Billing Specialist Dental

The Billing Specialist Dental is responsible for the patient registration process, insurance verification process, and financial arrangement issues at the dental clinic. This position verifies third party payer accounts, pre-authorization and/or pre-certification requirements. In addition to these responsibilities the Dental Billing Specialist, will be responsible for all dental billing functions and any subsequent Medicaid/Private payer audits. This position assists patients with questions regarding bills and insurance, and alternative payment plans.

The Dental Billing Specialist will be responsible for interfacing with all private payers or their designees (such as EviCore and Navinet) to obtain authorization for antepartum imaging, diagnostic testing, and lab studies and will facilitate physician to physician peer reviews of questionable cases. This position assures assignment of appropriate CPT and ICD-10 codes, collects quality statistical information, and assures timely follow up and processing of all accounts. Performs charge data reconciliation of all dental accounts. This position also collects data for statistical and/or financial analysis.

The Dental Billing Specialist communicates and collaborates with the dental team members including providers and provides quality customer service. This position supports organizational goals by providing quality customer service, participating in performance improvement efforts and demonstrating a commitment to teamwork and cooperation.

EDUCATION: High School diploma or equivalent required. Associates degree or higher preferred. Ability to read, write, and speak English is required. Bi-Lingual preferred.

EXPERIENCE:

• 5 years prior experience in hospital and professional billing office, billing, insurance or other related healthcare field required
• Minimum of 1 year prior experience in lead experience, either officially or can demonstrate with prior examples of experience required
• Excellent computer skills and working knowledge of medical terminology required.
• Working knowledge of Microsoft Windows Office applications and data entry functions required.

Job Identification 100572

Job Category Billing / Insurance

Job Schedule Full time

Job Shift Day

Pay Range $17.89-$25.96

Total Rewards at AtlantiCare At AtlantiCare, we believe in supporting the whole person. Our market-competitive Total Rewards package is designed to promote the physical, emotional, social, and financial well-being of our team members. We offer a comprehensive suite of benefits and resources, including: Generous Paid Time Off (PTO) Medical, Prescription Drug, Dental & Vision Insurance Retirement Plans with employer contributions Short-Term & Long-Term Disability Coverage Life & Accidental Death & Dismemberment Insurance Tuition Reimbursement to support your educational goals Flexible Spending Accounts (FSAs) for healthcare and dependent care Wellness Programs to help you thrive Voluntary Benefits, including Pet Insurance and more Benefits offerings may vary based on position and are subject to eligibility requirements. Join a team that values your well-being and invests in your future. Pay Transparency In order to support the Fair Compensation Strategy by the US Govt., HR Dept., clients are required to adhere to "Pay Transparency Law" in impacted states, which mandate employers to list salary ranges in job advertisements and promotions. AtlantiCare is an Equal Opportunity Employer