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Dental Billing Specialist
EHUD SASSONDental Billing Specialist for New York Family Dentistry responsible for billing targets and claims submission. Requires experience in dental billing and knowledge of insurance plans.
About the role
Key responsibilities & impact- 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
What you’ll need- 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
- 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 core values of commitment, quality, respect, communication and teamwork
- Demonstrated ability to manage time and prioritize projects to meet deadlines
Benefits
Comp & perks- Up to date knowledge of ADA billing guidelines including CDT coding updates and frequency limitations
- High speed internet connection and dedicated workspace in order to work from home
- Ability to maintain confidentiality regarding highly sensitive issues
- Remote work
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
CDT Code PostingInsurance Claims SubmissionPayment ProcessingPrior Authorization ProcessingDental Record Compilation
Soft Skills
Written CommunicationVerbal CommunicationTeamworkProblem Solving