Dental Billing Specialist

Job Description

Job Description

Job Information

Title: Dental Billing Specialist

Department: Dental Billing

Status: Hourly

Position Classification/Category: Clerical

Location: Assigned Dental Clinic

Reports To: Dental Business Supervisor

Direct Reports: None

Summary of Position: At all times the dental biller should command a professional, friendly and polite manner. As part of the dental billing team the dental biller role is to assist in the smooth and efficient running of the dental billing department. To adhere to protocols at all times in line with the company strategy, goals and values. Responsible for collecting, posting and managing account payments. Responsible for submitting claims and following up with insurance companies. Create various reports as need for management. Assist with the credentialing of dental providers.

Minimum Qualifications: Must be able to sit, stand and walk for long periods of time. Able to read and understand the English language. Able to effectively maintain confidentiality of records and communicate with all levels of personnel. Ability to work independently with minimal supervision. Ability to establish and maintain effective working relationships with providers, management staff, and contacts outside the organization. Must be able to work with multiple changing priorities. Requires excellent organizational, problem solving and critical thinking skills. Must be able to interact with individuals of all cultures and levels of authority. Requires the ability to maintain confidentiality. Must be able to function as part of a team. Excellent attention to detail.

Experience: 1 years’ full-time billing experience or dental experience is preferred

Education: High school diploma or GED

Licensure: None

Certifications: BLS/OSHA/HIPAA

Key Responsibilities

• Ability to self-manage your own time and be self-motivated.
• Tracking and following-up with insurance claims.
• Mentoring and advising office managers and operations team on how to resolve issues and answer questions concerning patient accounts
• Reviews unprocessed claims and correspondence received from insurance carriers to ensure payment
• Posts and processes payments from insurance carriers
• Analyzes and researches insurance aging for unpaid claims
• Contact insurance companies regarding plan eligibility and fee schedules
• Dental provider credentialing with varies insurance companies
• Follow up on claims payments.
• Verifies proper CDT coding is entered in the practice management system based on the services being performed by the dental office.
• Create various internal reports for upper management.
• Researches and identifies any special circumstance affecting delayed payment on accounts to include appeals of denied claims.
• Assists patients in setting up payment plans and troubleshooting account issues.
• Use various on and offline methods to trace outstanding claims payments.
• Any other duties as assigned

Kintegra Health Core Requirements

1. Patient First - An approach to care that holds primary, the well-being and desires of the patient
2. Build not Blame - Focusing first on finding fault with the process rather than the person
3. Integrity and Honesty - Fostering an acceptance of openness, honesty, and fairness in words, deeds and the use of organizational resources judiciously for both internal and external customers
4. Cooperation and Flexibility - Related to an internal believe that we function as part of an interdependent team with only shared gains or losses thereby committed to assisting whenever possible beyond the prerequisite job description
5. Culturally Sensitive - Always working toward increasing one's ability to understand, communicate with, effectively interact and care for people across cultures, while having an acute awareness of one's own culture.

Kintegra Health is a community sponsored, family-centered provider of health care, health education and preventive care services without regard to the ability to pay. We screen potential employees to first ensure alignment with our core requirements followed by the requisite position skills set. In doing so we need staff committed to this mission who do their best to live and work the characteristics of our core values as we strive to care for ever increasing members of the communities we serve.

Our goals are:

• To provide continuing comprehensive and accessible primary care services to individuals and families of all economic levels within Gaston County.
• To provide primary care services to meet the physical as well as social health needs of individuals and families, promoting health maintenance, providing timely diagnostics, treatment and referral services.
• To emphasize preventive care through patient and community education to help individuals become aware and responsible for their own health behaviors.
• To employ an interdisciplinary team approach in collaboration with other community providers to provide a continuum of appropriate patient/family-oriented care in a cost-effective manner.