Billing Specialist

2 weeks ago


Englewood, United States Alfa Dental Support, Inc. Full time
Job DescriptionJob Description

Job Description:

Summary Objective

Billing specialist prepares and submits claims electronically or by paper, answers questions from patients, clerical staff, and insurance companies; identifies and resolves patient billing complaints; evaluates patient financial status and establishes and tracks payment plans; reviews accounts and recommends solutions; processes payments; participates in educational activities and attend monthly staff meetings; maintains strict HIPAA compliance regarding patient privacy.

Essential Functions:

Reasonable accommodations may be made to enable individuals with disabilities to

perform the essential functions (may include but are not limited to:

· Review provider orthodontic billing of services rendered for orthodontics claim submission.

· Review and respond to billing inquiries submitted by providers and staff.

· Work directly with offices and insurances to resolve specific billing issues.

· Analyze data for errors and report data problems.

· Partner with offices and insurances to correct and resubmit claims based on review of the records, provider input, and payor input.

· Implement and communicate specific orthodontics codes, documentation guidelines, and education for efficient, complete. and consistent clinical data.

· Ensure claims are billed consistently by following CPT and ADA rules and guidelines: escalate issues that may impact this immediately to the Compliance.

· Committee Abide by HIPAA and Coding Compliance standards.

· collect data from various sources, maintain electronic records and logs, file paperwork, and operate office equipment.

· Accomplish other tasks as assigned.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.



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