Dental AR Billing Specialist

CPa Medical Billing•East Haven, CT

About The Position

The Dental AR Billing Specialist is responsible for ensuring accurate and timely management of dental accounts receivable. This role focuses on processing claims, resolving billing discrepancies, and securing timely payments to support the financial performance of the practice.

Requirements

High school diploma or equivalent (associate or bachelor’s degree preferred).
2+ years of experience in dental billing or dental AR collections.
Strong understanding of dental insurance plans (PPO, HMO, Medicaid, Fee-for-Service).
Proficiency with dental billing or practice management systems (experience with ECW, EPIC, or Dentrix is a plus).
Knowledge of CDT (Current Dental Terminology) codes and ability to read EOB/ERA reports.
Experience with electronic claims submission, clearinghouse edits, and denials.
Strong communication, problem-solving, and time management skills.
Ability to work independently and manage multiple priorities.

Responsibilities

Generate, scrub, and submit accurate dental insurance claims (electronic and paper).
Review and correct errors, rejections, and edits preventing claims from processing.
Follow up on unpaid, underpaid, or denied claims to ensure prompt reimbursement.
Review undistributed insurance and patient payments for possible overpayments or incorrect postings.
Verify dental insurance benefits and pre-authorizations when needed.
Work aging reports/work queues and follow up with insurance companies on overdue accounts.
Communicate with patients regarding outstanding balances and arrange payment plans when necessary.
Identify billing discrepancies and submit appeals for denied claims.
Maintain detailed documentation of all billing and collection activities.
Collaborate with front office and clinical teams to ensure billing accuracy.
Stay current with CDT coding, insurance changes, and HIPAA compliance requirements.