Billing Representative

Chord Specialty Dental Partners; West Chester (Chester County); On-site; USD 42,000 - 64,000; Full time

Job summary

Chord Specialty Dental Partners is seeking a Billing Representative to join our orthodontic billing team. You will follow up on claims from billing through final resolution, ensuring timely payment, minimizing write-offs, and maintaining accurate patient accounts.

In this role you will identify and correct billing errors, process refunds, post and reconcile payments, and communicate clearly with insurers and patients.

Qualifications

• High School Diploma or GED required.
• Knowledge of accounts receivable and basic accounting principles.
• Experience in healthcare billing, including government, managed care, and commercial insurances.

Responsibilities

• Follow up on claims from billing through final resolution for orthodontic business lines.
• Identify and correct billing errors and resubmit claims to insurers.
• Process patient refunds in a timely manner.
• Enter, post and reconcile payments to accounts.
• Provide remittance detail for payment errors, denials, and underpayments.
• Research and resolve customer AR issues and inquiries.
• Understand participating insurance companies and patient office locations.

Skills

Accounts receivable

Healthcare billing

Denial codes understanding

Problem solving

Multi-tasking

Communication

Prioritization

Independent work

Education

High School Diploma

Associates Degree preferred

Technical School

Tools

Microsoft Excel

Microsoft Word

Job description

Are you ready to work in a practice where every child is treated with compassion, every family feels welcomed, and every visit is designed to create a positive dental experience.

At Chord Specialty Dental Partners, we believe that empathy, teamwork, and exceptional patient care are at the heart of everything we do. As a proud partner of Chord Specialty Dental Partners, you'll have the support, resources, and opportunities needed to thrive while helping us deliver outstanding care to the communities we serve.

How does this shape your job experience?

We combine our individuality and child-centered dental expertise to practice group dentistry to create healthy smiles and positive experiences that last a lifetime. By working together as one team, we provide compassionate, high-quality care tailored to the unique needs of every child and family.

Responsibilities

Job Summary: As a Billing Representative you will be responsible for following up on claims from billing through final resolution for our Orthodontic business line, including accurate and timely follow-up of unpaid claims, by assigned payer/s and defined aging criteria to meet or exceed collection targets and minimize write-offs.

• Identifying and correcting billing errors and resubmitting claims to insurance carriers
• Process patient refunds in a timely manner
• Enter, post and reconciles payments to accounts
• Providing review and remittance advice for payment errors, denials, and under payments
• Research and resolve customer A/R issues and inquiries
• Know the insurance companies we do and do not participate with and what offices patients can and cannot be seen at
• Understand restrictions and dental policies at different insurance companies to explain to patients

Qualifications

What You’ll Need:

• High School Graduate/GED

Knowledge of basic accounts receivable and accounting principles

• Healthcare (professional) billing, government, managed care and commercial insurances, claim submission requirements, reimbursement guidelines, and denial reason codes. Understanding of the revenue cycle and how the various components work together
• Results oriented with a proven track record of accomplishing tasks
• Excellent problem-solving skills and the ability to handle multiple tasks simultaneously
• Ability to work independently and prioritize responsibilities daily in order to complete all assignments timely and accurately.
• Computer literacy skills including proficiency in Microsoft Excel and Word
• Ability to recognize roadblocks that may be causing slower reimbursement and work with management team to create solutions
• Excellent written/verbal communication skills

Preferred, But Not Required

• Technical School/2 Years College/Associates Degree
• Dental billing/collections/insurance terminology preferred Strong organizational skills and attention to detail