Dental Billing Specialist
EHUD SASSON
full-time
Posted on:
Location Type: Remote
Location: Pennsylvania • United States
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About the role
- Posting CDT codes to patient’s ledger based on provider clinical notes according to billing guidelines
- Submission of insurance claims using practice management software
- Ensuring claims are submitted with correct attachments such as x-rays, narratives, perio charting and intraoral photos
- Ascertaining why claims have been rejected and implementing corrective measures
- Identifying irregularities such as missing payments, missing procedures etc in patient accounts
- Responsible for reconciling all payments received by the practice through multiple payment methods
- Processing prior authorizations for procedures on behalf of the patient
- Auditing clinical notes by treatment coordinators and posting procedures to patient’s treatment plan
- Compiling dental records in response to requests from patients and dental insurances
Requirements
- Experience in Dental Office setting of at least 5-10 years
- Excellent knowledge of Dental Insurances, specifically PPO, DMO, DHMO (Capitation), and NYS Managed Care Programs
- Understanding In-network /Out-of-network benefits as well as fee for service
- Possess working knowledge of General Dentistry and Orthodontics such as common procedures and treatment
- Up to date knowledge of ADA billing guidelines including CDT coding updates and frequency limitations
- Strong English written and verbal communication skills to effectively relate data to coworkers
- Excellent critical thinking skills to help solve business problems and make decisions
- Possess our core values of commitment, quality, respect, communication and teamwork
- Demonstrated ability to manage time and prioritize projects to meet deadlines
- Have a high speed internet connection and dedicated workspace in order to work from home
- Ability to maintain confidentiality regarding highly sensitive issues
- Ability to work collaboratively with managers and team members in NYFD Field Operations and NYFD HQ Operations.
Benefits
- Flexible working arrangements
- Professional development opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
CDT codinginsurance claims submissionpayment reconciliationprior authorizations processingauditing clinical notesdental record compilationbilling guidelines knowledgefee for service understandingGeneral Dentistry knowledgeOrthodontics knowledge
Soft Skills
critical thinkingcommunication skillstime managementprioritizationteamworkcommitmentqualityrespect