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Dental Insurance/Billing Specialist
1 month ago
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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