Dental Insurance/Billing Specialist

1 month ago

Glen Burnie, United States Oasis Kids Dental Full time
Job DescriptionJob Description

Responsibilities include:

  • As a Billing Specialist, you'll serve as a subject matter expert in insurance requirements, authorizations, appeals, and patient navigation

  • Verify eligibility for Medicaid and HMO insurances

  • Verify & complete breakdowns, input patient insurance coverage, benefits, and setup insurance plans within our system

  • Determine copay/deductible for patient prior to appointment

  • Claims: Accurately process insurance claims, Post EOBS, Enter Efts, send statements in a timely manner, follow up on outstanding claims, run reports to check why claims get denied

  • Manage and maintain patient invoicing, billing, and collecting of payment

  • Keep patient accounts up-to-date by recording payments and changes when needed

  • Work on getting overdue payments from patients

  • Maintain up-to-date patient accounting records

  • Collaborate with the dental team to ensure efficient workflow and patient satisfaction

  • Financial Calls: Handle financial inquiries and communicate with patients regarding their financial responsibilities, payment options, and billing issues

  • Past Due Reports/Credit Reports: Manage and follow up on past due accounts, conduct credit reporting, and implement strategies to ensure timely payments

  • Basic Math skills using a calculator (addition, subtraction, percentages, etc.)

  • All of these areas will be tested, if you are not confident that you can provide these basic concepts, again please do not apply

Requirements:

  • Ability to handle dental collections efficiently and professionally

  • Sound knowledge of dental terminology.

  • Strong attention to detail, low error accuracy, and organizational skills

  • Experience with verification of benefits, assignment of benefits, Pt co-pays, efficient communication with insurance companies, and, getting the maximum coverage on behalf of the patients

  • Experience with electronic claims submission and the accurate ledger entries of insurance and patient payments and the subsequent calculations of balances owed

  • Excellent communication skills with patients & team members, both verbal and written

  • Customer Service: Ability to provide outstanding customer service and maintain a positive patient experience

  • Minimum two (2) years Dental Office Billing experience with PPO provider insurance rules - required

  • 1 year Open Dental Software required

  • Bilingual ( English and Spanish) preferred

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