Job description

Under the supervision of the Manager of Revenue Cycle, the Billing Specialist, will work to bridge the gap between medical care providers along with the dental care providers, patients, and the insurance companies by making sure the correct insurance information is updated and added to the electronic medical record along with any authorizations needed before the patients are serviced. This individual will ensure timely and accurate reimbursements by reviewing and correcting any internal claim errors before submission to the electronic billing clearinghouse. While working through the billing process, the dental biller is also responsible for posting (and recording) claim payments received, following up on non-paid claims to correct for reimbursement in a timely manner, filing appeals for denied claims and processing any corrected and/or VOID claims. The Billing Specialist should also have a strong knowledge of dental x-rays, dental terminology, and CPT coding for dental procedures. This individual should understand how to manage patient information in accordance with HIPAA regulations and know how to locate and understand provider manuals.

• Highschool graduate or equivalent required; Two (2) years of college preferred
• Minimum of two (2) years of recent medical billing experience required
• Minimum of two (2) years of dental claims processing experience required
• Knowledge of dental x-rays, dental terminology, and the dental authorization process as well as diverse insurance background required
• Experience with reviewing authorization requests for pediatric and adult dental x-rays required
• ICD-10 and CPT coding experience required
• Knowledge of behavioral health, professional and facility claims processing, payment, and denial resolution preferred
• Interacts with Medical Services, Mental Health Services and Dental Services to resolve claims related issues
• Problem solving and research skills; analytical, communications and critical thinking skills
• Good working knowledge of FQHC and Community Mental Health claims

Job Type: Full-time

Pay: $22.00 - $25.00 per hour

Benefits:

• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Experience:

• dental claims processing: 2 years (Required)
• medical billing: 2 years (Required)

Work Location: One location

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