Dental Clinic Billing and Patient Account Representative

Southern Missouri Community Health Center; United States; On-site; USD 42,000 - 58,000; Full time

Benefits offered by this job

Employer-paid Medical/Dental/Life

Long-term disability

9 paid holidays

17 PTO accruals

401K with 5% match

Job summary

Southern Missouri Community Health Center is seeking a Dental Billing Specialist to manage patient accounts, file claims, post payments, and ensure accurate, timely billing for a Federally Qualified Health Center.

The role emphasizes accuracy in coding and understanding third-party payer requirements, with travel between clinics as needed. Excellent benefits accompany this position.

Qualifications

• High School diploma or GED; proficient with clinic office systems.

Responsibilities

• File claims (electronic and paper) to third-party payers.

Skills

Customer service

Communication skills

Detail orientation

Regulatory compliance

Judgment and decision making

Tact and sensitivity

Computer skills

Education

High School diploma or GED

Some college coursework

Tools

Medicare/Medicaid billing systems

Electronic claims submission

Job description

Join our team as a Dental Billing Specialist — manage patient accounts, process insurance claims, and ensure accurate, timely billing for a Federally Qualified Health Center.

GENERAL DESCRIPTION:

Responsible for various day-to-day patient account functions, including patient and third-party billing, remittance advice and payment processing, problem resolution, collection letters, old balance review, and patient inquiry. Provides diagnostic and procedural coding for billing and referrals. Provides information and/or resolves third party insurance coverage issues. Balances daily receipts.

MINIMUM QUALIFICATIONS:

• High School graduate or GED
• Demonstrated computer skills, clinic office systems, spreadsheet, and word processing.
• Demonstrate well-developed written and oral communication skills.
• Demonstrate understanding of customer service principles.
• Ability to accurately record and transmit detailed information.
• Ability to interpret and comply with applicable regulations.
• Ability to exercise good judgment in evaluating situations and making decisions.
• Ability to utilize tact and sensitivity to timing personal transactions.
• Previous experience in operation of office machinery: personal computer, copier, FAX, postage machine, typewriter, and printer
• A means of transportation that would facilitate travel between clinics and out of town meetings and training when it is deemed necessary and appropriate. Travel may be required with or without advance notice.

PREFERRED QUALIFICATIONS:

• Previous dental billing experience strongly preferred.
• Some college coursework preferred.
• Preferred two years of current experience and working knowledge in coding and billing functions of third-party payer systems, including Medicare, Medicaid, and commercial insurance.

JOB RESPONSIBILITIES:

• Primary:
• Accounts Receivable functions including:
• File claims, both electronic and paper, to all third-party payers
• Post payments/remittances to patient accounts
• Monitor claim payments and capitated payments and adjudicate payment errors.
• Manage all aspects related to timely filing of claims including correcting claim errors and re-filing.
• Monitor Provider schedules to ensure all charges have been submitted for every patient seen.
• Balance daily receipts to computer reports
• Maintain current working knowledge of diagnostic and procedural coding and provide updates to staff as requested.
• Maintain working knowledge of third-party payer programs and requirements.
• Assists with ongoing accounts receivable review process, including processing collection letters as scheduled and reviewing accounts for bad debt processing.
• Assist patients with resolution of account balance problems or discrepancies.
• Assist with chart audits for correct coding.
• Assist with denial tracking information collection.
• Provide Good Faith Estimates to patients.
• Cross train for medical billing duties as needed

JOB ACCOUNTIBILITIES:

• Responsible for the timely and accurate preparation and submission of all initial and refiled third-party insurance or reimbursement claims, in accordance with program guidelines and requirements.
• Responsible for the timely and accurate processing of patient and third-party payments
• Responsible for balancing daily receipts timely and accurately
• Provide assistance to staff and patients regarding billing issues and problem resolution in a courteous and timely manner.
• Contribute to a team-oriented approach to all business office functions.
• Show respect to fellow employees through all forms of communication, including appropriate verbal and written communications as well as appropriate body language.

Excellent Benefit package includes 100% employer paid Medical/Dental/Life insurance and long-term disability. 9 paid Holidays and 17 Paid Time Off accrual. 401K with 5% match. Optional benefits include Short-Term Disability, increased Life/AD&D, Vision, dependent care and more.

SMCHC is an equal opportunity employer