Billing Specialist Jobs

Dental Billing Specialist - This is NOT a Remote Position.

Qualifications:

Extensive knowledge of Dental Insurances and Provider participation rules, including:

• In-depth knowledge of PPO, HMO, and DMO policies
• Ability to verify benefit coverages
• Ability to calculate patient deductibles, co-payments, insurance and patient financial responsibilities
• Complete understanding of dental EOB’s, patient deductibles, co pays, and third-party correspondents
• Ability to efficiently reconcile patient accounts
• Experience with Medicaid a plus

Possess exceptional personal and interpersonal skills, including:

1. Strong written and verbal communication skills

2. Excellent organizational skills and attention to details

3. Ability to work independently

4. Commitment to only “5-star” patient support

5. Ability to work with sensitive information confidentiality and adhere to company policies

Responsibilities include:

a. Answer and return phone calls, emails and chats from patients with billing questions

b. Effectively review and research claim denials and contact payers to verify detailed denial reasons, when necessary

c. Navigate and research dental reimbursement policies and exclusions

d. Effectively explain EOB’s and communicate financial responsibilities to patients

e. Request and process payments from patients with balances owed.

f. Adhere to all HIPPA guidance/regulations

g. Maintain a professional demeanor with patients and staff at all times

Requirements:

a. Minimum 5 years experience working exclusively with patients, accounts and dental insurances

b. Must demonstrate complete understanding of the above qualifications during the interview process.