Dental Billing Specialist

HEART OF FLORIDA HEALTH CENTER


Date: 5 hours ago
City: Ocala, FL
Contract type: Full time
Job Summary

The Dental Billing Specialist is responsible for accurate and timely filing of all dental insurance claims, follow-up to outstanding claims and denials. This position will be responsible for monitoring trends with outstanding claims, denials and claim processing issues and reporting them timely to the Revenue Cycle Manager.

Qualifications / Requirements

  • High School diploma or equivalent
  • 1-2 years’ experience in Dental Billing required
  • CDT and ICD10 coding experience required
  • Strong communication skills, both verbal and written
  • Problem-solving and conflict-resolution abilities
  • Proficient in Microsoft Word, excel and outlook
  • Ability to work independently and/or with team members
  • Must have a secure area in home that is away from family/friends that restricts access to HIPAA related items

Essential Functions

  • Responsible for daily claims processing of dental claims
  • Responsible for timely follow up of claim errors, 277 rejections and completion of correspondence needed for dental claim payments
  • Serve as the initial point of contact for dental customer service inquiries, calls and issues
  • Follow up on outstanding AR, to ensure AR for dental is reviewed, worked or appealed within the payer guidelines
  • Maintain an outstanding AR that does not exceed 90 days or past payer timely filing guidelines
  • Updating patient insurance and preparing claim for submission
  • Maintains strict confidentiality
  • Reviews Dental credits, resolving or recommends refunds to insurance carriers
  • Assist in insurance payment posting as needed
  • Assists Customer Service Representative with patient balances and collections
  • Performs other duties as assigned.

Physical Requirements

  • Frequently sitting at a desk for office work.
  • Occasional driving of automobiles for outside meetings or trainings.
  • Continuous use of corrected vision, depth perception, wide field of vision, and color. Also, the job will demand continuous use of auditory senses.
  • Duties require attention to detail, alertness, problem-solving, tolerance to stress, and exercising sound judgement.
  • This employee may frequently lift and/or move items over 30 pounds.
  • Must be able to lift, carry and handle equipment, supplies, and other work site materials according to position requirements.

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