Billing Clerk (Dental) at Sonrisas

Job Title: Billing Clerk

Classification: Non-Exempt

Salary Range: $56,000 – $61,000 annually

Reports to: Director of Finance, with Daily Oversight from Billing Manager

About the Organization

Sonrisas Dental Health, Inc. (SDH) is a non‑profit dental center dedicated to providing access to quality dental care and oral health education to our community. We provide these services with dignity, respect and compassion. SDH improves the health of our community members through culturally sensitive, integrated care, with a focus on disease prevention. SDH is a dental home for our patients, providing preventative dental care, mobile dental, general dentistry, geriatric dentistry, pediatric dentistry, sedation dentistry and accommodations for patients with special needs and disabilities. Seventy percent of SDH’s patients are low‑income.

About the Position

The Billing Clerk plays a critical role in SDH’s revenue cycle and supports mission‑driven operations by ensuring accurate claim creation, daily claim submission, EOB posting, payment allocation, and timely follow‑up. This position performs the day‑to‑day billing activities and works closely with the Billing Manager to ensure compliant, efficient, and timely billing practices. The Billing Clerk is also a key resource for staff questions related to billing workflows, payer rules, and documentation requirements.

Education / Experience / Licensure

• HS Diploma or GED required
• 3 years experience with dental or medical billing required
• Knowledge of CDT/ADA codes required
• Knowledge of Medi‑Cal Dental billing processes strongly preferred
• Experience with Open Dental and DentalXChange preferred.
• Successful completion of background checks required.
• Must follow all HIPAA and PHI handling standards.

Fundamental Duties

• Review completed appointments daily and prepare accurate claims in Open Dental.
• Submit daily electronic and paper claims for Medi‑Cal, HPSM, PPO, commercial plans, and sliding scale programs.
• Correct and resubmit rejected claims in DentalXChange.
• Post insurance payments and EOBs weekly; apply contractual adjustments and document payment details.
• Allocate all payments to the correct procedures and dates of service.
• Identify and document denials; resubmit or elevate issues to the Billing Manager/CEO.
• Assist with bi‑weekly A/R reviews and work aging buckets as assigned.
• Maintain accurate notes, documentation, and uploads in Open Dental and SharePoint.
• Provide billing support to front office and clinical teams, including payer rules and documentation needs.
• Help prepare monthly patient statements and review balances for accuracy.
• Help with review and support processing of credit balances, prepayments, and refunds.
• Maintain HIPAA compliance and secure handling of PHI.
• Perform other billing‑related duties as assigned.

Fundamental Expectations

• Demonstrates commitment to SDH’s mission, values, and service standards.
• Displays strong attention to detail, accuracy, and organizational skills.
• Maintains a collaborative and solution‑oriented approach.
• Uses judgment in identifying billing risks and escalating issues appropriately.
• Maintains confidentiality and professionalism at all times.
• Continuously seeks to improve billing processes and cross‑department coordination

Physical Expectations

Prolonged sitting or standing may be required. Those physical movements and the degree of mobility, manual dexterity and hand‑eye coordination normally associated with office tasks will be performed on a frequent, repetitive basis. The ability to distinguish letters and symbols as well as the ability to utilize telephones, computer terminals and copiers is required. Work under stressful conditions as well as irregular hours may be required. Ability to lift up to 20 lbs. is required, up to 50 lbs. is helpful, but rare in occurrence.

Facility Expectations

• Listens to, understands, and appropriately responds to patient/customer needs and improves overall customer satisfaction.
• Demonstrates professional behavior with his/her work. Complies with personnel and departmental policies. Supports and participates in quality improvement activities.
• Works actively with others to get the job done. Consistently exhibits courteous behavior/actions, including maintaining a positive attitude.
• Supports and participates in changes and discussions regarding work practices.
• Acts and speaks respectfully regardless of the presence or absence of the person. Frequently offers praise to others for doing a good job. Listens to and respects the opinions of others and maintains confidentiality.
• Demonstrates enthusiasm and commitment towards personal growth and development; completes and attends mandated educational courses. Maintain current licensure and certifications, if applicable. Attends and participates in departmental meetings, and if unable to attend proactively asks or gathers missed information.
• Addresses issues in a courteous and respectful manner. Maintains the same standard for all patients/families and co‑workers. Supports co‑workers and patients/families in a positive manner.
• Follows safety practices. Identifies problems and works to resolve safety issues as they occur and in accordance with policy, asking for assistance when necessary. Helps and teaches others.

Sonrisas Dental Health reserves the right to revise or change job duties and responsibilities as the business need arises. In compliance with EEOC 29 CFR part 1630, if the essential functions of this position cannot be performed in a satisfactory manner by the employee, further accommodations shall be made if it does not constitute undue hardships upon this organization.

Sonrisas Dental Health, Inc. is an equal opportunity employer and does not discriminate based on race, religion, color, national origin, ancestry, marital status, military status, gender, physical or mental disability, sexual orientation, or age. Sonrisas Dental Health, Inc. complies with all Federal, State, and local labor and employment laws.