Dental Billing Specialist

Premier Smiles PLC; Hamtramck (MI); On-site; USD 42,000 - 56,000; Full time

Job summary

Premier Smiles PLC in Hamtramck, MI is seeking an experienced Dental Billing Specialist to manage claims from submission through payment, ensuring accuracy and timely follow-up. The role requires a detail-oriented, organized professional comfortable working with dental insurance systems.

Responsibilities include submitting and tracking claims, managing AR, investigating denials, posting payments, and communicating with insurers and patients.

Qualifications

• Previous dental billing experience strongly preferred.
• Familiarity with dental insurance terminology and claim processing.
• Experience working dental insurance AR.
• Comfortable communicating with insurance companies and patients.

Responsibilities

• Submit dental insurance claims accurately and on time.
• Follow up on unpaid and outstanding insurance claims.
• Work insurance accounts receivable and aging reports.
• Investigate denied, rejected, and underpaid claims.
• Submit corrected claims and appeals when necessary.
• Verify insurance benefits and eligibility.
• Obtain pre-authorizations and predeterminations when needed.
• Post insurance payments and EOBs accurately.
• Review patient and insurance balances for accuracy.
• Communicate with insurance companies regarding claim status and payment issues.
• Resolve coordination of benefits and insurance discrepancies.
• Maintain accurate billing notes and documentation.
• Assist with patient billing questions when necessary.
• Help ensure outstanding balances are followed up on consistently.

Skills

Attention to detail

Organizational skills

Communication

Independent follow-up

Tools

Denticon

Job description

We are looking for an experienced Dental Billing Specialist to join our dental office. We are seeking someone who is organized, dependable, detail-oriented, and comfortable handling dental insurance claims from submission through payment.

Responsibilities include:

• Submit dental insurance claims accurately and on time
• Follow up on unpaid and outstanding insurance claims
• Work insurance accounts receivable and aging reports
• Investigate denied, rejected, and underpaid claims
• Submit corrected claims and appeals when necessary
• Verify insurance benefits and eligibility
• Obtain pre-authorizations and predeterminations when needed
• Post insurance payments and EOBs accurately
• Review patient and insurance balances for accuracy
• Communicate with insurance companies regarding claim status and payment issues
• Resolve coordination of benefits and insurance discrepancies
• Maintain accurate billing notes and documentation
• Assist with patient billing questions when necessary
• Help ensure outstanding balances are followed up on consistently

Qualifications:

• Previous dental billing experience strongly preferred
• Strong understanding of dental insurance terminology and claim processing
• Experience working dental insurance AR
• Familiarity with PPO plans and dental benefit breakdowns
• Comfortable communicating with insurance companies and patients
• Strong attention to detail and organizational skills
• Ability to independently follow claims through resolution
• Experience with Denticon preferred