Dental Clinic Billing and Patient Account Representative

SMCHC; West Plains (MO); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

401(k) matching

Dental insurance

Health insurance

Paid time off

Job summary

SMCHC in West Plains, Missouri is seeking a Dental Billing Specialist to manage patient accounts and process insurance claims for a Federally Qualified Health Center.

The role covers accounts receivable, posting remittances, and resolving third-party coverage issues, with emphasis on accurate, timely billing and patient service.

Qualifications

• High School diploma or GED.
• Demonstrated computer skills and basic clinic office systems.
• Strong written and oral communication skills.
• Understanding of customer service principles.
• Ability to record and transmit detailed information accurately.
• Ability to follow regulations and policies.
• Good judgment for decision-making and timing of transactions.
• Experience with office equipment and travel as needed.

Responsibilities

• Process patient and third-party billing and accounts receivable.
• File electronic and paper claims to third-party payers.
• Post payments and remittances to patient accounts.
• Monitor claim payments and adjudicate errors.
• Ensure timely filing and correct claim submissions.
• Balance daily receipts with system reports.
• Maintain coding knowledge and update staff as needed.
• Assist with denial tracking and bad debt review.
• Provide Good Faith Estimates to patients.
• Cross-train for medical billing duties as needed.

Skills

Customer service

Written communication

Oral communication

Computer skills

Regulatory understanding

Attention to detail

Judgment & discretion

Education

High School diploma

Tools

Spreadsheets

Word processing

Clinic software

Job description

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off

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:

• 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 ACCOUNTABILITIES:

• 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