BILLING CLERK (Dental)

RAVENSWOOD FAMILY HEALTH CENTER•Redwood City, CA

13d•$24 - $36•Onsite

About The Position

The Billing Clerk is responsible for preparing and submitting billing for all payors, including self-pay patients, public programs, and private third-party insurance. The position reviews accounts receivable and follows up on unpaid accounts to support prompt payment, and performs other duties as required. The posting describes Billing Clerk I as an entry-level training position and distinguishes Billing Clerk II by its requirement for at least three years of prior billing experience in a dentist’s office or community clinic with progressively increased responsibilities, in addition to the stated minimum qualifications. The role reviews encounter forms and charge batches for accuracy and completeness, submits claims and statements, maintains supporting documentation, reconciles remittance advice and posts payments, researches and rebills denied or unpaid claims, and follows up on patient balances. It also handles patient billing inquiries, develops payment agreements with approval from the Director of Billing Cycle, attends payer-related training, maintains billing manuals, and uses templates and workflow documentation to support complete records and statistical reporting. The position is located at the Administration RWS site in Redwood City, California. The listed pay range is $24.00–$36.00 per hour. Ravenswood Family Health Network’s mission is to improve community health through culturally sensitive, integrated primary and preventive care regardless of ability to pay or immigration status, while collaborating with community partners to address social determinants of health.

Requirements

High school diploma or equivalent (GED).
One year of billing experience in a healthcare organization.
Basic Life Support (BLS) certificate.
Knowledge of billing practices and clinic policies and procedures.
Knowledge of CDA and ICD-10 coding and billing requirements for public programs and third-party payors.
Knowledge of specialist billing in dental and special billing modifiers.
Familiarity with data entry, calculator use, and spreadsheet software such as Microsoft Excel.
Ability to work effectively and cooperatively with RFHN staff and patients.
Ability to examine documents for accuracy and completeness.
Ability to communicate clearly.
Ability to prepare records in accordance with detailed instructions.

Nice To Haves

Bilingual Spanish language skills are highly preferred to facilitate communication with patients and employees.
Being up to date with COVID-19 vaccines according to current CDC guidelines is strongly recommended.
For Billing Clerk II, at least three years of prior experience as a biller or billing specialist in a dentist’s office or community clinic, with progressively increased responsibilities.

Responsibilities

Review encounter forms for accuracy and completeness, including diagnosis and CDT codes, and return incomplete encounters to providers for correction.
Review batches of entered charges for errors before posting.
Prepare and submit billing to all payors, including electronic claims for public programs, HCFA 1500 and UB 92 hard-copy claims for private insurance, and hard-copy statements for self-pay patients.
Maintain supporting original documentation, encounter forms, hard-copy statements, and correspondence for audit upon request.
Receive third-party remittance advice, send checks to accounting for deposit, reconcile remittance advice, and post payments promptly.
Research denials and unpaid or partially paid claims, and rebill daily to support prompt payment.
Follow up on outstanding patient balances, including retroactive rebilling, and contact patients to collect when insurance is unavailable.
Attend training seminars sponsored by the State or other payors to stay current on billing and eligibility issues.
Keep billing manuals current by removing outdated information and adding new advice notices.
Handle calls about patient accounts and billing questions.
Develop patient payment agreements with approval from the Director of Billing Cycle.
Use templates and workflow documentation tools to ensure encounters are fully documented and to support collection of data for statistical reports.