Dental Billing Specialist I

Family First Health; Hanover (York County); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Health insurance

Vacation leave

Sick leave

Retirement plan

Tuition reimbursement

Work-life balance

Job summary

Family First Health is seeking a Dental Billing Specialist for an on-site role at our Downtown York, PA office. The candidate will assist with creating claims for all five dental sites and work to resolve aged accounts while delivering excellent patient service.

Responsibilities include posting payments, handling denials, and communicating with patients and insurers, all while maintaining confidentiality and accuracy in the billing system.

Qualifications

• 1–2 years’ dental billing/coding experience or completion of a Billing/Coding class.
• Knowledge of dental terminology and ability to learn billing software.
• Proficiency with Microsoft Office applications incl. Excel.

Responsibilities

• Assist in billing and collections for claims to insurers and patients.
• Ensure insurance verifications are completed before visits when applicable.
• Verify and post charges, payments, and adjustments accurately.

Skills

Billing/Coding

Dental terminology

Microsoft Excel

Customer service

Team collaboration

HIPAA knowledge

Independent work

Education

High School Diploma or GED

Tools

Microsoft Office

Job description

Job Details: Level: Experienced, Job Location: GEORGE STREET - YORK, PA 17401, Position Type: Full Time.

Family First Health is seeking a Dental Billing Specialist for our a onsite position in our Downtown York, PA office.

Candidates should have a working knowledge of dental terminology and be computer proficient or have the ability to learn.

As a Dental Billing Specialist at Family First Health, candidates will be responsible for assisting Dental Billing with the creation of claims for all 5 Dental sites with additional responsibilities as listed below.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Participates in billing and collections of claims to both insurance companies and patients in order to achieve optimal accounts in a timely manner.
• Ensures insurance verifications are completed prior to scheduled office visits except when front desk adds in an appointment after they have received the verified schedule.
• Ensures charges, payments and adjustments are accurately posted to the billing system by front desk staff.
• Submits dental claims daily for completed encounters.
• Enters payments received into the billing system using the appropriate discounts and contractual allowances to patient accounts.
• Works denials from insurance companies to determine how the claim should be edited to obtain payment.
• Participates in training of new employees on dental billing functions at all Family First Health locations.
• Analyzes accounts receivable reports from the billing system to identify aging account balances.
• Understands and communicates the Sliding Fee Policy and procedure to staff and patients as needed.
• Sends letters or directly contacts patients and insurance carriers to resolve aging account balances.
• Processes patient and insurance refunds in a timely manner.
• Informs and assists patients in obtaining Care Credit.
• Meets with patients in person or over the telephone as requested to provide assistance with billing questions.
• Assists patients by delivering excellent customer service while ensuring problem resolution.
• Documents patient complaints and incidents as required.
• Attends and actively participates in departmental/organizational meetings as required.
• Complies with HIPAA rules and regulations.
• Assists with sorting through Dental Mail to direct Prior Authorization responses to appropriate offices, address Insurance denials, and other remittances.
• Performs other duties as assigned.

KNOWLEDGE/SKILLS/ABILITIES

• High School Diploma or GED.
• 1-2 years’ prior work experience in a dental office with Billing/Coding experience or completion of a Billing/Coding Class
• Knowledge of computer software applications (Microsoft Office Applications including Excel, others).
• Knowledge of grammar, spelling, and punctuation as it relates to correspondence necessary to perform essential job functions.
• Knowledge of basic arithmetic to make calculations, balance and reconcile figures, and make changes accurately.
• Excellent customer service and employee relations skills
• Skill in working in a team environment
• Skill in administrating and managing data.
• Skill in operating office equipment.
• Proficient keyboarding skills
• Ability to critically think which means the ability to think clearly and rationally about what to do or what to believe; understand logical connections between ideas; and identify, construct, and evaluate arguments
• Ability to work independently by making decisions regarding daily work and seeking direction from the Billing Supervisor of Dental services when needed.
• Ability to raise issues proactively and in a timely manner.
• Ability to maintain the confidentiality of employee and client information.
• Ability to work in, and respond to a demanding work environment.
• Ability to communicate well and in a caring and supportive manner with individuals of all backgrounds.
• Ability to work efficiently and accurately with strong attention to detail.
• Ability to adhere to and meet deadlines.
• Ability to sort and file materials correctly by alphabetic or numeric systems.
• Ability to establish and maintain effective working relationships with patients, employees, and the public.
• Ability to be organized, proactive in follow-up and follow-through, and to juggle multiple competing tasks.
• Ability to adhere to all Family First Health’s policies, processes, and procedures, especially, Code of Conduct, Workplace Conduct, and the Remote/Telework Policy if indicated eligible to work remotely or telework.
• Ability to articulate and advocate Family First Health’s mission and values
• Ability to maintain required clearances

PHYSICAL DEMANDS

Mental/Physical Requirements: Must possess the physical and mental abilities to perform the tasks normally associated with a Dental Billing Specialist position such as:

• Frequent and prolonged work at a computer and/or on the phone for extended periods with repetitive typing, arm and hand motion.
• Requires correct vision and hearing to normal range.
• Requires ability to speak clearly in order for others to understand.
• Occasional bending, stooping, crouching, or kneeling.
• Occasional to moderate standing and walking within office environment.
• Frequent walking to and from buildings to employee parking with exposure to weather conditions.
• Occasional lifting and carrying of supplies and equipment.
• Frequent turning and reaching while sitting or standing.
• Occasional travel between work sites with exposure to weather conditions.
• Frequent competing demands, frequent changes, delays, or unexpected events.
• Normal working conditions are in an office environment.
• When teleworking or working remotely, requires working alone in a qualified work setting

Employee Benefits

• 3 Weeks of Accrued Paid Vacation per year
• 9 Days of Accrued Paid Sick Leave Time per year
• 4 Personal Days per year
• No Late Evenings or Weekend Hours
• Paid Time Off on Holidays
• Health, Dental, & Vision Insurance Plans
• Short/Long Term Disability and Life Insurance
• 403(b) Retirement Plan
• Tuition Reimbursement Opportunities
• Attention to work-life balance
• Opportunity for growth and advancement
• And More!

Qualifications: