Dental Billing Specialist

Summary

Join our team as a skilled Dental Billing Specialist! You will manage all aspects of dental billing, from claim submissions and insurance follow-ups to payment posting and patient inquiries. This role demands expertise in dental insurance policies, coding, and regulatory compliance. You'll ensure accurate and timely billing to maximize reimbursement. We offer a competitive hourly rate, medical benefits, ongoing training, and a permanent work-from-home setup. If you're detail-oriented, possess strong communication skills, and have 2-3 years of relevant experience, we encourage you to apply.

Requirements

• Minimum of 2-3 years of dental billing experience within the US healthcare system, preferably in a dental office or dental practice
• Familiarity with dental insurance plans, dental coding (ADA, CPT, ICD-10), and payment posting
• Strong understanding of dental insurance processes, claims submission, and denial management
• In-depth knowledge of HIPAA compliance, medical billing, and coding standards
• Familiar with various insurance companies and government payer programs (Medicaid, Medicare)
• Excellent attention to detail and strong organizational skills
• Ability to manage multiple tasks and meet deadlines in a fast-paced environment
• Strong communication skills, both written and verbal, to interact effectively with patients, insurance companies, and team members
• Ability to work independently and as part of a team

Responsibilities

• Accurately prepare and submit dental claims to insurance companies, including both primary and secondary claims
• Ensure that claims are submitted with the appropriate coding (CPT, ICD-10, ADA codes) and in compliance with insurance policies and healthcare regulations
• Perform detailed insurance verification to confirm patient benefits and eligibility
• Work with dental providers to clarify any issues related to billing, documentation, or coding
• Post insurance and patient payments, including the allocation of payments to the correct accounts and codes
• Reconcile discrepancies in payments or denials, ensuring accurate account balances and patient statements
• Review, investigate, and resolve claim denials or underpayments, including resubmitting claims and appealing insurance decisions when necessary
• Coordinate with insurance providers to resolve issues and ensure timely payments
• Address and resolve patient inquiries regarding billing, payments, and insurance coverage
• Provide clear and concise explanations of charges, coverage, and financial responsibilities
• Assist with establishing payment plans when necessary
• Generate and maintain reports on billing activities, denials, payments, and outstanding claims
• Ensure compliance with HIPAA, insurance regulations, and other federal or state-specific guidelines
• Work closely with the dental office team (front office, clinical staff, management) to ensure smooth billing and collections processes
• Communicate effectively with external insurance providers to resolve any issues impacting billing or payments

Preferred Qualifications

Experience with electronic health record (EHR) systems and dental billing software (e.g., Dentrix, Eaglesoft, Open Dental, etc.) is highly regarded

Benefits

• Competitive hourly rate
• MedVA in-house medical benefits (after 6 months of tenure)
• Ongoing training at no cost, with top-tier learning resources from industry experts
• Permanent work-from-home setup, allowing you to earn from the comfort of your home and avoid stressful commutes while reducing your exposure to illness