Dental Claims Specialist

2 weeks ago


Brooklyn, New York, United States New York Family Dentistry Full time
Job Title: Dental Billing Specialist

We are seeking a highly organized and experienced Dental Billing Specialist to join our team at New York Family Dentistry.

Job Summary:

The Dental Billing Specialist will be responsible for achieving the revenue targets of our practice. This individual must have prior dental billing experience and be familiar with Government and Commercial Insurance plans.

Key Responsibilities:

  • Develop and implement effective billing/collection policies and procedures
  • Ensure compliance with government and third-party regulations
  • Optimize insurance payer contract, pricing, and reimbursement rates
  • Oversee timely claim submission and manage the aging process minimizing denials
  • Conduct pre- and post-appointment audits
  • Handle insurance calls and facilitate the correction of claims/refunds

Requirements:

  • 5+ years of dental billing experience
  • Proficiency in Dentrix Ascend, Google Workspace, Slack, and Asana
  • Strong knowledge of PPO, DMO, DHMO, and NYS Managed Care Programs
  • Understanding of in-network/out-of-network benefits and fee-for-service
  • Up-to-date knowledge of ADA billing guidelines and CDT coding
  • Strong knowledge of third-party financing; Lending Club, Alphaeon, Care Credit, etc.
  • Strong written and verbal communication skills
  • Excellent critical thinking and organizational skills

General Skills:

  • Proficiency in data entry and analysis
  • Strong interpersonal skills and teamwork
  • Ability to multitask and manage projects effectively

Salary: $30,000-300,000



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