DENTAL BILLING SPECIALIST

St.-Hope-Foundation; Bellaire (TX); On-site; USD 42,000 - 58,000; Full time

Benefits offered by this job

4 Day Work Week (Mon-Thu)

Competitive Pay

Paid Time Off

Medical/Dental/Vision

Life Insurance

401k (6% Match)

Paid Federal Holidays

Job summary

St. Hope Healthcare is seeking a Dental Billing Specialist to manage the revenue cycle for our fully digital practice. You will handle claim creation, submission, payment posting, and denial management within our EHR environment.

You will verify patient insurance eligibility, translate procedures into CDT codes, and process claims to ensure timely reimbursement. Strong communication skills and HIPAA compliance are essential for success.

Qualifications

• 1 year minimum dental billing or coding experience.
• Proficient navigation of Electronic Health Record (EHR) systems; experience with eClinicalWorks preferred.
• Solid knowledge of CDT coding, dental terminology and insurance claim forms.
• Experience handling commercial PPO, Medicaid, and Medicare dental claims.
• Good keyboard skills (approx. 35 wpm).
• Ability to work under frequent interruptions and maintain composure.
• Detail-oriented and highly organized.
• Strong interpersonal and communication skills.
• Bilingual (Spanish/English) a plus.

Responsibilities

• Manage the full dental billing cycle: claim creation, submission, posting, and denial management.
• Verify patient insurance eligibility, benefits, and coverage prior to appointments.
• Translate dental treatments into CDT codes and process claims in line with standards.
• Operate primarily within the eClinicalWorks EHR with high accuracy.
• Follow up on unpaid claims, file appeals for denials, resolve billing discrepancies with carriers.
• Generate and distribute patient statements; serve as primary contact for out‑of‑pocket inquiries.
• Perform daily payment reconciliations and month‑end reporting tasks.
• Maintain HIPAA compliance and protect patient information at all times.
• Communicate with clients/caregivers about financial responsibilities and payment options.

Skills

Dental billing

EHR navigation

CDT coding

Insurance claims

Bilingual Spanish/English

Tools

eClinicalWorks

Job description

We are seeking a DENTAL BILLING SPECIALIST to become a part of our team! You will be responsible for managing the revenue cycle, insurance claims, and patient billing inquiries for our dental services, ensuring accurate and efficient financial processing within our fully digital practice.

Responsibilities

Responsibilities of a Dental Billing Specialist will include, but are not limited to the following:

• Manage the full dental billing cycle, including claim creation, submission, payment posting, and denial management.
• Verify patient dental insurance eligibility, benefits, and coverage limitations prior to appointments.
• Accurately translate dental treatments into current CDT codes and process claims in compliance with current dental billing standards.
• Perform essential work exclusively within the eClinicalWorks Electronic Health Record (EHR) system with a high degree of accuracy and completeness.
• Follow up promptly on unpaid claims, file structured appeals for denied dental claims, and resolve complex billing discrepancies with insurance carriers.
• Generate and distribute patient statements, serving as the primary point of contact for patient inquiries regarding out-of-pocket costs and account balances.
• Perform daily payment reconciliations and month-end reporting tasks as directed by the revenue cycle management team.
• Knowledgeable of HIPAA regulations, protecting patient financial and medical information at all times.
• Communicate in a culturally competent and effective manner to clients/caregivers regarding their financial responsibilities and available payment options.

Qualifications

• Dental billing and coding experience - one year minimum required.
• Demonstrated proficiency navigating and entering data within Electronic Health Record (EHR) systems; prior experience with eClinicalWorks is highly preferred. (Note: Candidates must be comfortable in a 100% digital, paperless environment).
• Strong foundational knowledge of current CDT coding, dental terminology, and insurance claim forms (e.g., ADA claim forms, clearinghouse portals).
• Experience handling commercial PPO, Medicaid, and Medicare dental claims.
• Good keyboard skills - 35 wpm.
• Ability to work with frequent interruptions and maintain emotional control under stress.
• Detail-oriented and highly organized.
• Great interpersonal and communication skills.
• Bilingual (Spanish/English) a plus.

Working Conditions

The position occasionally requires sitting, standing and bending. Occasional very light lifting, up to 20 pounds or an equivalent weight may be required. Must be willing to travel to Northwest and Greenspoint Health Centers.

Employment Benefits

• 4 Day Work Week (Monday-Thursday); 2 Saturday (8a-12n) rotations per quarter
• Competitive Pay
• Paid Time Off Plan
• Comprehensive Medical/Dental/Vision
• Life Insurance
• 401k (6% Match)
• Paid Federal Holidays

EEO Statement:

St. Hope Healthcare is an equal opportunity employer and will not discriminate against any employee or applicant on the basis of age, color, disability, gender, national origin, race, religion, sexual orientation, veteran status, or any classification protected by federal, state, or local law.