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 – 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 Driver’s 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