Job Description
Role Description
The Biller - Dental Claims position is a key member and contributor for electronically billing all third-party patient claims, including processing rejections, posting insurance payments, performing monthly patient statement billing and itemized billings as requested.
This position requires a flexible schedule that may require extended hours as business requires β including evenings and weekends.
- Qualifications
- 1-3 years of dental billing experience preferred
- Previous experience with multi-specialty dentistry is a huge plus!
- Medicaid & PPO experience highly desired
- Must reside and be authorized to work in Arizona, Colorado, or Texas at the time of hire and for the duration of employment
- This position may require the employee to use his/her personal vehicle to travel to different work sites during the course of the work day, which means you would need an active, valid Driverβs License
- Requirements
- Process rejections, denials, and other correspondence
- Work all Denials that include: Duplicate Claim, Timely Filing, EOB requests, Not Medically necessary denials, COB denials, COP Denials
- Implement changes and provide education and feedback to providers, departments, and offices in relation to denials that impact revenue
- Appeal denied claims in real-time with unprecedented tenacity
- Audit patient accounts for accuracy
- Initiate patient or insurance overpayment refunds, where applicable
- Apply slides, adjustments, and re-bills as needed
- Write off delinquent balances according to company guidelines and approvals
- In the cases where you interact with patients directly, make sure your conversations are duly noted in the Open Dental Communications Log
- Assist with other finance activities as workload dictates and priorities change
- Ensure all record keeping is 100% accurate
- Perform all other duties as assigned
- Physical Requirements
- Prolonged sitting and standing as needed
- Ability to lift up to 15 lbs
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