Billing & Collections Specialist - Dental

Aria Community Health Center•Lemoore, CA

12d•$22 - $23

About The Position

Under the supervision of the Billing Supervisor, the Billing & Collections Specialist – Dental is responsible for handling the billing and insurance processing tasks of an FQHC dental office This includes auditing charges, preparing and submitting claims, managing patient accounts, and ensuring that the practice receives timely and accurate payments for services rendered.

Requirements

Written and oral fluency in both English and Spanish is preferred
Excellent verbal and written communication skills, including, but not limited to in-person, telephone, and email
Ability to work independently and to carry out assignments to completion within parameters of instructions given
Mathematical accuracy
Experience in dental billing or medical billing, with a strong understanding of dental terminology and procedures
Revenue billing and collection problem-solving skills
Ability to listen to and comprehend communication from patients, staff, and others
Ability to work independently and to carry out assignments to completion within parameters of instructions given
Proficient with Microsoft Office Suite and other computer-based platforms
Excellent organizational skills and attention to detail, resulting in a high-level of accuracy
Demonstrated good problem-solving skills
Ability to prioritize and perform functions with minimal supervision
Able to handle multiple tasks simultaneously
Able to quickly build and maintain rapport with patients, staff and providers of diverse backgrounds
High School Diploma or equivalent
Minimum two years of experience in private pay and Medi-Cal billing and data reconciliation preferred

Nice To Haves

Previous dental billing experience
Previous Electronic Health Record (EHR) experience preferred

Responsibilities

Coordinate with dental office staff to ensure accurate patient information and treatment codes
Ensure accuracy and completeness of claim forms, attaching necessary documentation as required.
Prepare and submit dental claims to insurance companies electronically or via paper.
Generate and distribute patient statements and invoices.
Bills and audits dental charges from multiple dental offices.
Generate refund requests when appropriate.
Provide feedback to staff involved in the preparation of records and superbills for improvement in accuracy of all such records.
Ensure compliance with relevant regulations and policies, including HIPAA and insurance company guidelines.
Analyze billing data to identify trends, issues, and opportunities for improvement.
Maintain accurate and organized records of all billing activities, claims, and communications.
Perform special data collection projects and other assignments.
Generate reports on billing activities and claim status for management review.
Maintain accurate detail of patients’ accounts.
Coordinate with dental site on treatment authorizations for insurance.
Work in NextGen EMR, EDR, and PM systems.
Keep Billing staff and other staff informed as needed.
Respect and protect information regarding patients and other team members and abide by the rules of the Confidentiality Protocol.
Other duties as assigned by supervisor.
Duties and responsibilities may be added, deleted, or changed at any time at the discretion of management, formally or informally either verbally or in writing.
Responsible for revenue generation and controlling patient accounts receivable in the dental department
Supports and motivates patients to comply with payment expectations
Maintains open communication with supervisor and staff
Collects and records data accurately
Works flexible or extended hours where necessary
Abides by Rules of Confidentiality
Demonstrates awareness and compliance of the corporate and organizational mission and objective of ACHC to promote health care access for all members of the community
Use of professionalism and best efforts in your position
Maintain regular, predictable, and punctual attendance