Dental Biller

Job Summary:

This full-time position for the AR management of the dental clinic. This position is responsible to processes/posts a variety of billing transactions such as charge entry, denial management, payment posting, daily cash management and patient inquiries in accordance with department procedures. Checks and verifies insurance data; enters data into EMR system and uses systems to research questions and generate reports. Performs related general clerical duties. This position may include Dental patient access work including but not limited to prior authorizations, insurance verification, patient inquiries with scheduling and adherence to all processes in the dental clinic.

ESSENTIAL FUNCTIONS:

Responsible for daily billing operations to ensure maximum productivity, accuracy of claims submission and third party follow up through automated work queues while assisting with resolution of disputed claims.Maintains a good working knowledge of the specific billing requirements for all payers for FQHC.

Including assigning appropriate PT-4 codes and appropriate ICD- 10-CM diagnosis codes selecting the codes that accurately describe the condition for which the service or procedure was performed.

Provides ongoing training and development of staff as required to ensure payor requirements are met.

Review claims editing reports for consistent errors and follow up with the management for improvement in quality and performance.

Analyze and trend billing issues related to A/R, i.e., Specialty, Payer, Provider, etc. for efficiencies while taking proactive approach to resolve A/R issues prior to escalation.

Engage in open communication with management regarding information system, third party payor, and regulatory updates and/or enhancements

Contacts patients to obtain, verify, and update account information when necessary

Work with the payors and subscribers to resolve issues and facilitate prompt payment of claims

Provide weekly and monthly analysis of reports that measure overall progress of payer rejections and solutions to the errors.

Develop and analyze reports that will monitor claim edit trends

Ability to work independently, with minimal supervision. Must be very reliable and punctual as attendance is important for this position

Participate in review and evaluation of claim denials to ensure appropriate reimbursement.

Participate in assessing claim edits to enhance the billing system functionality and identify user training and development needs.

Process monthly patient statements and answer patient inquiries in regard to those statements.

Generate patient service invoices in a timely manner.

Responsible for assisting all patients that report to the dental front desk and greets patients in a prompt, courteous and professional manner.

Helps patients feel comfortable before, during and after dental treatment.

Schedules and registers patients throughout each day either: 1. Utilizing the phone system, or, 2. In person at the Dental Department Patient Access Area.

Attains and appropriately handles all messages from the voicemail each day.

Answers incoming calls promptly and professionally, efficiently screening calls and relaying messages.

Demonstrates commitment to the mission of the organization in promoting dental health.

Interacts positively with a diverse, sometimes difficult, and demanding patient population.

Provides service in a manner that is appropriate for the patient’s age; demonstrates knowledge and skills necessary to meet the patient’s physical, psychosocial, educational, and safety needs.

Completes and maintains patient records and related administrative documentation.

Verifies and/or confirms all data/insurance information for patients each day, including walk ins and add-ons.

Checks to make sure all patient paperwork is completed/signed prior to patient being sent to the Clinical Area in the Dental Department.

Utilizes systems, technology, and equipment in the collection of patient data, records management, and collections.

Provides laboratory delivery and pick up coordination.

Responsible for strategically placing emergency patients into the schedule with guidance from the Dentist and/or Dental Staff.

In collaboration with the Dental Assistants, responsible for scheduling: 1. Prostho patients once their cases are in, and 2. Patients that have had Pre-authorizations approved and are ready for treatment.

Responsible for the orderly appearance of the Dental Front Desk Area & Dental Waiting Room.

Ensures that adequate quantities of supplies are always on hand.

Responsible for making sure appropriate amounts of petty cash is on hand each day.

In cooperation with the Clinical Dental Staff, responsible for filling and maintaining an efficient and effective Dental Schedule.

The list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities that management may deem necessary from time to time.

POSITION REQUIREMENTS

High school graduate or equivalent, bachelor’s degree preferred.

Must be knowledgeable of medical and dental terminology, electronic and manual claims processing, and third-party payor billing guidelines and reimbursement practices for primary care centers.

Must be able to establish priorities, effectively problem solve, and use good judgment and decision making in day-to-day billing operations and work independently.

Must have ability to communicate well both orally and in writing. Requires prior working experience on personal computers and various office equipment.

ABILITIES:

Ability to deal in an organized manner with problems involving multiple variables within the scope of the position.

Basic understanding of clerical and administrative procedures.

Excellent written and verbal communication skills.

Excellent organizational and time management skills.

Ability to solve problems as they arise.

Proficient in Microsoft Office Suite or similar software.

Ability to communicate effectively in writing, over the telephone, and in person.

Work Schedule:

Weekdays (8-5)

Benefits:

MCHC pays 100% of the employee premium for UPMC Medical

Medical and Dependent Care FSA and HRA (deductibles are paid for by Metro)

United Concordia dental

Short Term Disability

Long Term Disability

Life insurance ($100,000.00)

VBA vision coverage is offered as voluntary coverage that paid for by the employee

2 weeks of paid parental leave

20 days (4 weeks) of PTO for your 1st two years

12 paid holidays

401k with a 4% match

40 hours CME

Choice of a $500 bonus or a $500 deposit to your 401k

CPR and Fingerprints paid for at onboarding

Work from home options

60-minute lunch (30 minutes paid)

Annual raise

Identity theft protection (LifeLock)

Pet Insurance

Paid when helping with events (It might be time and a half)

Parking and Mileage reimbursement

$$ Drawing for each event you help with

$1 Differential (Plus time and a half)

$35 Wi-Fi for work from home staff

Discounted memberships to over 11,500 gyms

[Apply Now](https://metrocommunityhealthcenter.org/careers/)