Dental Billing Specialist

This position performs specific dental billing processes, to include, but not limited to, billing and third-party payer preauthorization’s and filings, review of patient fee slips, review and reconciliation of invoices for patient related ancillary services, dental grant tracking and reconciliation, etc.

Minimum Qualifications:

Education

High School Diploma or Equivalent.

Certification through American Health Information Management Association or its equivalent is preferred.

Experience

Two years experience in billing required; prior billing and collections experience in a dental office preferred; prior collections experience preferred. Two years’ experience in finance or as a dental assistant; or an Associate’s Degree in Accounting or Business may substitute for billing and collections experience.

Essential Functions:

1. Report to work as scheduled, on time and prepared to start working. Remain at work for their entire work schedule.
2. Oversees and/or runs, verifies and submits patient billing, third party billing, collections, related reports and compliance with law.
3. Follows-up with dental providers, as necessary, regarding coding.
4. Responds to inquiries concerning patient accounts.
5. Tracks and reconciles dental grant funds and coordinates referrals to outside providers for services paid through grant funds.
6. Processes prior authorizations for all dental patients who require it before being seen by a provider.
7. Remains current with standards of health care billing practices.
8. Participates in continuous quality improvement activities.
9. Participates in meetings.
10. Complies with Center’s policies and procedures.
11. Utilizes personal computer and specialized office equipment.
12. Performs other duties as assigned.

Knowledge, Skills and Abilities

Knowledge of CDT codes and use of automated information management system software.

Technically proficient computer skills.

Thorough knowledge of common office equipment (copier, fax, printer, etc.).

Excellent oral and written communication skills.

Ability to organize and prioritize tasks.

Ability to work under pressure and meet deadlines.

Strong analytical, attention to detail and problem-solving skills.

Ability to work independently and as a team member.