Dental Billing Specialist - REMOTE

Community Health Programs, Inc.; Massachusetts; Remote; USD 40,000 - 60,000; Full time

Job summary

A leading healthcare organization is seeking a Dental Billing Specialist to manage coding and billing processes. This full-time, entry-level position requires excellent communication and customer service skills, with a strong emphasis on accuracy and compliance in billing procedures. Bilingual candidates in Spanish are preferred.

Qualifications

• At least one year of dental coding and billing experience.
• Certification is a plus.
• Bilingual in Spanish is a plus.

Responsibilities

• Review electronic dental records and identify services performed.
• Prepare accurate claims for timely submission.
• Follow up on delinquent accounts and resolve billing complaints.

Skills

Customer service

Communication

Knowledge of dental terminology

Punctuality

Reliability

Education

High school diploma or equivalent

Job description

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The Dental Billing Specialist reviews electronic dental records, computer-generated reports, and other reporting tools to identify conditions treated and the services provided to each patient. This role is responsible for overseeing the timely and accurate coding of diagnoses, services, and procedures performed by dentists, hygienists, and other providers performing billable services, as well as supplies used, utilizing the appropriate coding system. Excellent customer service and communication skills are required for this position. Bilingual in Spanish is a plus. This position also monitors and resolves all aged receivables. The person will support CHP's mission, vision, and values and will adhere to compliance protocols, CHP's policies, and procedures.

Position Requirements

• Review electronic dental records (EDR) billing system, reports, and tools to identify all services and procedures performed by providers.
• Review encounter forms to ensure appropriate diagnosis codes are selected that accurately describe the condition treated.
• Prepare accurate claims for timely submission to third-party payers.
• Post third-party payments to patient accounts and file Explanation of Benefits (EOBs) according to clinic procedures.
• Work cooperatively with third-party payers to reconcile payments promptly.
• Ensure dental staff complies with third-party rules and regulations.
• Analyze and investigate all claims that are 60 days past due, determine causes, and report to leadership.
• Collaborate with practice managers to monitor insurer correspondence regarding claims.
• Investigate denied claims, correct coding errors, and resubmit for payment.
• Assist with provider billing and documentation training as needed.
• Maintain payer training manuals and notify staff of policy changes.
• Follow up on delinquent accounts, work to collect balances, and evaluate patient financial status to establish payment plans.
• Apply received payments and prepare/send statements to patients with unpaid balances.
• Address patient questions and resolve billing complaints.

Competencies include: punctuality, reliability, knowledge of dental terminology, anatomy, physiology, CDT coding, payer reimbursement policies, and billing software. Bilingual skills are a plus.

Qualifications: High school diploma or equivalent; at least one year of dental coding and billing experience; certification is a plus.

This is a full-time, entry-level position in the healthcare industry.

For complete description and application, click here.