Dental Billing Specialist

CredSpun LLC; United States; Vor Ort; USD 55.000 - 75.000; Vollzeit

Zusammenfassung

CredSpun LLC is seeking a dental billing specialist to manage end-to-end insurance billing for dental offices. You will handle CDT claims, attachments, x-rays, and narratives, along with posting payments and addressing downgrades and denials.

Two-plus years of dental billing experience and strong CDT knowledge are required. Familiarity with Open Dental, Dentrix, or Eaglesoft is preferred to navigate diverse payer habits.

Qualifikationen

• Two or more years of dental insurance billing.
• Strong CDT coding knowledge and familiarity with ADA claim forms.
• Experience with trusted dental software platforms.

Aufgaben

• Verify dental benefits, frequencies and limitations before treatment.
• Submit dental claims with CDT codes, attachments, x-rays and narratives.
• File pre-authorizations and pre-determinations for major treatment.
• Post insurance payments and handle downgrades and denials.
• Follow up on aging dental claims and resubmit with additional information.
• Cross-code medically necessary dental procedures to medical insurance where appropriate.

Kenntnisse

Dental insurance billing

CDT coding knowledge

Dental software proficiency

Dental plan structures

Tools

Open Dental

Dentrix

Eaglesoft

Jobbeschreibung

Run dental insurance billing for dental offices — CDT claims with narratives and attachments, pre-authorizations, posting and AR — plus medical cross-coding where it applies.

Dental billing runs on a different code set (CDT), different claim forms and different payer habits from medical billing. Frequency limits, missing-tooth clauses, waiting periods and downgrades all decide what gets paid, and many claims need x-rays and narratives to go through. As a dental billing specialist you handle insurance billing end to end for dental offices.

What you will do

• Verify dental benefits, frequencies and limitations before treatment
• Submit dental claims with CDT codes, attachments, x-rays and narratives
• File pre-authorizations and pre-determinations for major treatment
• Post insurance payments and work downgrades and denials
• Follow up on aging dental claims and resubmit with additional information
• Cross-code medically necessary dental procedures to medical insurance where appropriate

What you need

• Two or more years of dental insurance billing
• Strong CDT coding knowledge and familiarity with ADA claim forms
• Experience with Open Dental, Dentrix, Eaglesoft or similar dental software
• Understanding of dental plan structures: PPO, DHMO, indemnity