Billing Specialist- Hybrid WFH - Vancouver, WA

Mosaic Dental Collective, LLC•Vancouver, WA

5h•Hybrid

About The Position

Mosaic Dental Collective (MDC) is looking for a Dental Billing Specialist to join our RCM team. An MDC Billing Specialist plays a crucial role in the administrative and financial operations of our dental practices. This position involves managing the billing process, insurance claims, and ensuring accurate and timely reimbursement for dental services provided to patients. The Dental Billing Specialist interacts with both patients and insurance companies, ensuring that financial transactions are accurately recorded and that the practice remains compliant with relevant regulations. This position will report to the Regional Billing Supervisor. Expectation to work 5 days a week, Mon-Fri during business hours. This role will be offered in a hybrid remote space, with the expectation of being on site minimum one day a month at the Central office located in Vancouver, WA. The wage range for this position is $24 - $31 per hour depending on experience.

Requirements

Must have ability to travel to the Vancouver, WA central office location on average 1 day per month for trainings and meetings.

Nice To Haves

You thrive under pressure with grace and apparent ease. Your positivity and can-do attitude emanate from your being
Your exceptional time management, follow through, and organizational skills has everyone asking how you manage everything so effortlessly.
You are a proactive learner who is constantly looking to improve personally and professionally.
You love to always be in the know and you aren’t afraid to ask when you don’t know.
You thrive in a highly autonomous environment, and value collaboration (yes, both!)
You effectively navigate ambiguity to uncover requirements, need, intent, to develop insights and create action plans
Wicked sense of humor and strong team-orientation - adaptable, flexible, and able to work hybrid.
Flexibility is your middle name whether you’re working on a large recruiting project with multiple hires or handling an urgent project.
You value the candidate experience and an inclusive process above all else during the recruiting process
You are committed to building our employment brand and spreading the message. You embody Mosaic Dental Collective’s Core Values.

Responsibilities

Insurance Claims Processing: Prepare and submit insurance claims for dental procedures to various insurance companies. This involves accurately coding procedures using CDT (Current Dental Terminology) codes and following specific insurance guidelines.
Billing: Generate Insurance Claims for services rendered, detailing procedures performed and including appropriate documentation. Ensure accuracy and clarity in billing records.
Resolving Rejections: Investigate and resolve any practice management software or clearinghouse rejections in relation to initial claim submission. Ensure accuracy with patient and insurance demographic information and all required documentation with the intention to maximize payor reimbursement.
Communication: Communicate with office billing contact, other departments and clinical teams regarding insurance policies and procedures. Read and relay information reported on explanations of benefits (EOBs) and assist in resolving billing discrepancies.
Documentation and Reporting: Maintain organized records of billing activities, insurance correspondence, and payment history. Generate reports related to billing and collections as needed.
Team Collaboration: Collaborate with dental office staff, including front desk personnel, dentists, and dental assistants, to ensure accurate documentation of procedures and proper billing practices.
Continuing Education: Stay informed about changes in dental billing codes, insurance policies, and billing regulations through ongoing training and professional development.
AR Support: Follow-up on Claims: Monitor the status of submitted claims, track payments, and follow up on outstanding claims that require additional information or resubmission.
Appeals and Denials: Handle claim denials or rejections by analyzing the reasons for denial and resubmitting claims with necessary corrections or additional.