Medical Insurance Billing Specialist

Dentsply Sirona; Riverside (CA); Remote; USD 80,000 - 100,000; Full time

Job summary

An established industry player is seeking a Medical Insurance Billing Specialist to enhance patient care through efficient billing processes. This role involves verifying patient eligibility and collaborating with insurance providers to streamline billing. Join a team that values innovation and high performance, and contribute to improving oral health worldwide. If you're passionate about healthcare and ready to make a difference, this opportunity is for you!

Qualifications

• 2+ years in healthcare billing or insurance verification.
• Experience with healthcare billing processes preferred.

Responsibilities

• Confirm patient eligibility and verify coverage with providers.
• Maintain records of insurance verifications and authorizations.

Skills

Insurance Verification

Prior Authorizations

Collaboration

Communication

Data Management

Education

High School Diploma

Associate’s Degree in Healthcare Administration

Tools

Standard Office Software

Job description

Join to apply for the Medical Insurance Billing Specialist role at Dentsply Sirona

Join to apply for the Medical Insurance Billing Specialist role at Dentsply Sirona

Dentsply Sirona is the world’s largest manufacturer of professional dental products and technologies, with a 130-year history of innovation and service to the dental industry and patients worldwide. Dentsply Sirona develops, manufactures, and markets a comprehensive solutions offering including dental and oral health products as well as other consumable medical devices under a strong portfolio of world class brands. Dentsply Sirona’s products provide innovative, high-quality and effective solutions to advance patient care and deliver better and safer dentistry. Dentsply Sirona’s global headquarters is located in Charlotte, North Carolina. The company’s shares are listed in the United States on NASDAQ under the symbol XRAY.

Bringing out the best in people

As advanced as dentistry is today, we are dedicated to making it even better. Our people have a passion for innovation and are committed to applying it to improve dental care. We live and breathe high performance, working as one global team, bringing out the best in each other for the benefit of dental patients, and the professionals who serve them. If you want to grow and develop as a part of a team that is shaping an industry, then we’re looking for the best to join us.

Working At Dentsply Sirona You Are Able To

Develop faster - with our commitment to the best professional development.

Perform better - as part of a high-performance, empowering culture.

Shape an industry - with a market leader that continues to drive innovation.

Make a difference -by helping improve oral health worldwide.

The Medical Insurance Billing Specialist confirms patient eligibility and verify coverage details with both Medicare and private insurance providers before billing and obtain prior authorizations if one is needed.

Essential Duties

• Insurance Verification and Prior Authorizations: Confirm patient eligibility and verify coverage details with both Medicare and private insurance providers before billing and obtain a PA if one is needed.
• Front-End Expertise: Utilize your skills in VOB, QA work, PA processes, and payer portal navigation to identify issues and implement quick, effective solutions.
• Collaboration & Communication: Coordinate with internal Wellspect channels and external insurance contacts to streamline billing and shipping processes and resolve discrepancies promptly.
• Documentation & Reporting: Maintain detailed records of insurance verifications, prior authorization request statuses, and resolutions, providing regular reports to management.
  
  

Key Performance Measures

• Insurance Verification Accuracy: Ensure verifications are completed correctly on the first attempt, minimizing errors that could delay billing.
• Prior Authorization Time: Accurately and efficiently obtain a prior authorization in a timely manner, minimizing errors that could delay an order from being processed.
  
  

Skills

• Ability to work collaboratively with diverse teams and build strong relationships with both internal and external stakeholders.
• Proficiency with standard office software and data management tools.
  
  

Competencies

• Proven experience in a coordination, administrative, or project management role within the healthcare or medical device industry.
• Strong organizational, communication, and multitasking skills, with a demonstrated ability to manage regional operations effectively.
• Familiarity with healthcare billing processes and/or product implementation is preferred. Ability to prioritize workload with an attention to detail and willingness to complete projects in a timely and efficient manner
  
  

Experience

• Minimum of 2 years of hands-on experience in healthcare billing, insurance verification, or a related DME AR function.
  
  

Education

• Minimum: High School Diploma or equivalent
• Preferred: Associate’s degree in Healthcare Administration, Business, or a related field
• Additional certifications in medical billing, insurance claims processing, or healthcare administration are considered a plus.
  
  

The hourly rate for this remote role is between $19-24. Actual compensation is influenced by a wide array of factors including but not limited to skill set, level of experience, and specific office location.

DentsplySirona is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, sexual orientation, disability, or protected Veteran status. We appreciate your interest in DentsplySirona.

If you need assistance with completing the online application due to a disability, please send an accommodation request to [e-mail]. Please be sure to include “Accommodation Request” in the subject.

For California Residents

We may collect the following categories of personal information in connection with the submission of your resume or application materials to us for employment, and if hired, your employment with us: identifiers (e.g., name, address, email address, birthdate); personal records (e.g., telephone number, signature, education information, criminal background information, passport number and visa information); consumer characteristics (e.g., sex, marital status, veteran status, race, disability, sexual orientation); professional or employment information (e.g., resume, cover letter, employment history, background check forms, references, certifications, transcripts and languages spoken); and inferences from personal information collected (e.g., a profile reflecting abilities and aptitudes).

The above categories of personal information are collected for the following business purposes: performing recruitment and hiring services; processing interactions and transactions (e.g., to comply with federal and state laws requiring us to maintain certain records, managing the workforce); and security (e.g., detecting security incidents, protecting against fraudulent or illegal activity).

For additional details and questions, contact us at [e-mail]

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Medical Device

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