Billing Specialist - Placentia

Children's Happy Teeth & Happy Braces • Orange, CA

386d • $41,600 - $56,160

About The Position

The Billing Specialist at Children's Happy Teeth and Happy Braces is responsible for managing patient billing processes, ensuring accurate treatment coding, and handling insurance claims. This role is crucial in facilitating smooth billing operations to enhance patient experiences and support the practice's mission of providing exceptional dental care to children.

Requirements

• Minimum 2 years experience in a similar role or Dental Office Setting, with recent collections experience in a Dental or Medical setting.
• Experience with Medi-Cal Dental billing, including pre-authorization, NOA, CIF, CRA, etc.
• Strong knowledge of insurance billing, coding, and claims processing.
• Knowledge of Dental Terminology and CDT Coding.
• Successful completion of the initial online assessment provided during the application process.
• Proficiency in Dentrix Ascend and Microsoft Office.
• Exceptional attention to detail and accuracy in managing financial records.
• Ability to work independently and effectively multitask, with great attention to detail.
• Strong interpersonal and communication skills, with the ability to explain billing processes clearly to patients and families.
• Ability to work collaboratively with both administrative and clinical teams.

Responsibilities

• Collaborate with the billing team for claim submission, tracking, and payment posting.
• Manage aging reports for all departments (Pediatric, Ortho, OS) to ensure timely collection of insurance payments.
• Review accounts in Dentrix Ascend to identify and resolve billing inconsistencies and errors.
• Audit patient accounts to address payment issues or errors, finding appropriate solutions.
• Send accounts to collections when necessary and issue monthly statements for overdue accounts.
• Oversee and conduct patient walkouts, including revising coding, updating fee schedules, managing insurance attachments, referrals, and co-payment assignments.
• Calculate and track various company reports and statements (e.g., Outstanding Claims Report, Unsubmitted Claims Report, Production/Collection Reconciliation).
• Post payments from insurance and patients.
• Update contracted fee schedules as needed.
• Monitor electronic claim submissions for requests or errors.
• Perform other duties as assigned by the management.

Benefits

• Competitive Compensation with performance-based bonuses.
• Supportive Team Environment that values collaboration.
• Growth Opportunities for professional development and training.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed