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Dental Biller
4 months ago
As a Dental Biller, your primary responsibility is to manage the financial aspects of a dental office or practice. You will work closely with patients, insurance companies, and other administrative staff to ensure accurate and timely billing and payment processing. Your role involves understanding dental insurance policies, coding procedures, and billing regulations to facilitate smooth financial operations within the practice. Attention to detail, strong organizational skills, and excellent communication abilities are essential for success in this role.
Schedule (days/hours)
Tuesday - Friday 8-5 or 9-6 with possible one or two Saturdays
Responsibilities
- Insurance Verification: Verify patients' insurance coverage and eligibility prior to appointments. Ensure accurate information is obtained and recorded in the billing system.
- Billing and Coding: Assign appropriate billing codes to dental procedures performed using the standardized coding system (e.g., CDT codes). Ensure adherence to coding guidelines to prevent errors and maximize reimbursement.
- Claims Submission: Prepare and submit insurance claims electronically or through paper submission. Monitor claim status and follow up on any rejections or denials. Make necessary corrections and resubmit claims promptly.
- Payment Processing: Receive and process payments from patients and insurance companies. Post payments accurately to patient accounts and reconcile any discrepancies.
- Patient Billing: Generate and send out patient statements for outstanding balances. Assist patients with understanding their bills, explaining insurance coverage, and setting up payment plans if necessary.
- Appeals and Denials Management: Handle insurance claim denials and appeals. Investigate reasons for denials, gather supporting documentation, and resubmit claims with additional information as needed.
- Record Maintenance: Maintain organized and up-to-date billing records, including patient demographics, insurance information, and billing history. Ensure confidentiality and compliance with HIPAA regulations.
- Communication: Liaise with patients, insurance companies, and other healthcare providers to resolve billing inquiries and disputes promptly. Provide excellent customer service and address concerns professionally.
- Revenue Cycle Management: Assist in optimizing the revenue cycle by identifying opportunities for process improvements, reducing claim rejections, and accelerating payment collection.
- Previous experience in dental billing, medical billing, or healthcare administration strongly preferred.
- Proficiency in dental coding systems (e.g., CDT codes) and billing software applications.
- Strong understanding of insurance policies, reimbursement processes, and claim submission procedures.
- Excellent communication skills, both verbal and written, with the ability to interact effectively with patients, insurance companies, and colleagues.
- Detail-oriented with strong analytical and problem-solving abilities.
- Ability to prioritize tasks, manage time efficiently, and work independently or as part of a team.
- Knowledge of HIPAA regulations and commitment to maintaining patient confidentiality and data security.
About
Compensation Range: $18 - $24/Hour
Smile Brands supports over 650 affiliated dental practices across 30 states all focused on a single mission of delivering Smiles For Everyone® Smiles for patients, providers, employees, and community partners. Everyone. Our entire culture is designed to promote WIN-WIN relationships by treating people with respect and pursuing business process excellence that makes it easier to provide great patient care. Our growing portfolio of affiliated dental brands and practice models range from large regional brands to uniquely branded local practices. This role is associated with the affiliated dental office listed at the top of the job posting on our career site.
Smile Brands Inc. and all Affiliates are Equal Opportunity Employers. We celebrate diversity and are committed to providing an inclusive workplace for all employees. We are proud to be an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race, color, creed, gender (including gender identity and gender expression), religion, marital status, registered domestic partner status, age, national origin, ancestry, physical or mental disability, sex (including pregnancy, childbirth, breastfeeding or related medical condition), protected hair style and texture (The CROWN Act), genetic information, sexual orientation, military and veteran status, or any other consideration made unlawful by federal, state, or local laws. If you would like to request an accommodation due to a disability, please contact us at careers@smilebrands.com
