Dental OR Billing Specialist

US-PA-West Chester
# of Openings
1
Category
Administration

Overview

CDHA Management, operator of one of the leading pediatric dental practices in the region, has an immediate, full-time career opportunity for a Dental OR Billing Specialist at our West Chester corporate office location!

We are pleased to offer a competitive salary and strong benefits package, which includes:

  • Company contributions towards medical insurance coverage
  • No-cost employer paid dental insurance for all employees
  • 401k
  • Generous paid time off (PTO) policy
  • Company paid holidays

Responsibilities

Under the supervision of the Dental Billing Manager and Dental Billing Supervisor, we are looking for a team member to join our growing dental practice. As a Dental OR Billing Specialist, you will be the team member responsible for billing all dental procedures and preparing a “clean” dental claim to submit to the various dental insurance companies, for our patients that are referred to the Surgery Centers for their dental work. You will be responsible for comparing the Operatory notes from the Surgery Center and the Operatory Chart notes in the dental software and billing properly, if all items match. You are also responsible for emailing the doctors and clinical staff if there are any discrepancies, and following up on the emails until the claim is billed in a timely manner. In addition, the ideal candidate will follow up on submitted claims from billing through final resolution, including accurate and timely follow-up of unpaid claims, by assigned payer/s and defined aging criteria to meet or exceed collection targets and minimize write-offs.

 

Other responsibilities include:

  • Identifying and correcting billing errors and resubmitting claims to insurance carriers
  • Processing patient refunds in a timely manner
  • Applying any deposits made prior to procedure to the account once billed
  • Working closely with employees at Surgery Center, Medical A/R department, Dental A/R department and OR Treatment Coordinators
  • Confirming that insurance for patients has been verified 3 days prior to scheduled OR date
  • Adhering to policy and procedures in place for cancellations and/or patients with inactive insurance policies
  • Working with third-party vendor on insurance verification reports and overdue OR claims
  • Researching claim denials to determine reasons for denials, correcting and reprocessing claims for payment in a timely manner
  • Being familiar with the insurance companies we do and do not participate with, and what offices patients can and cannot be seen at
  • Other duties as assigned

Qualifications

  • High School Graduate/GED required
  • Technical School/2 Years College/Associates Degree preferred
  • 1+ years of dental office or medical billing and collections experience preferred
  • Dental billing/ insurance terminology preferred

Knowledge

  • Knowledge of basic accounts receivable and accounting principles
  • Healthcare (professional) billing, government, managed care and commercial insurances, claim submission requirements, reimbursement guidelines, and denial reason codes. Understanding of the revenue cycle and how the various components work together preferred

Skills & Experience:

  • Strong organizational skills and attention to detail
  • Results oriented with a proven track record of accomplishing tasks
  • Excellent problem-solving skills and the ability to handle multiple tasks simultaneously
  • Ability to work independently and prioritize responsibilities daily in order to complete all assignments timely and accurately.
  • Computer literacy skills including proficiency in Microsoft Excel and Word
  • Ability to recognize roadblocks that may be causing slower reimbursement and work with management team to create solutions
  • Service-oriented/customer-centric
  • Excellent written/verbal communication skills

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