Dental Biller

WESTERN WAYNE FAMILY HEALTH CENTERS•Dearborn, MI

About The Position

The Dental Biller collects, posts, and manages account payments; submits claims; follows up with insurance companies; and performs other assigned billing tasks. The role prepares clean claims for electronic or paper submission, answers billing questions, resolves patient billing complaints, prepares and sends patient statements, establishes budget payment plans, reviews delinquent accounts, corrects and resubmits rejected claims, performs collection actions, processes insurance payments, and maintains accounts receivable aging analysis. The Dental Biller also keeps current with coding, procedures, and legislative changes related to billing; performs tasks in Epic; follows the employee manual and HIPAA requirements; and carries out other functions assigned by the Billing Manager.

Requirements

  • Completion of a Billing and Coding program.
  • One year of experience in a dental business office, primarily focused on insurance billing and coding practices.
  • One year of dental coding experience.
  • Proficiency using an EMR system and Microsoft Office.
  • Knowledge of basic billing, coding, and account management techniques.
  • Ability to work in a complex work environment.
  • Ability to maintain confidentiality and organizationally appropriate relationships.
  • Knowledge of organization policies and procedures.
  • Knowledge of computers, systems, and medical or dental billing applications.
  • Skill in exercising initiative, appropriate judgment, problem-solving, and decision-making.
  • Skill in developing and maintaining effective relationships with internal and external customers.

Nice To Haves

  • Knowledge of FQHC billing or multispecialty billing.
  • Knowledge of Epic.

Responsibilities

  • Prepare and submit clean claims to insurance companies electronically or on paper when needed.
  • Answer questions from patients, clerical staff, and insurance companies.
  • Identify and resolve patient billing complaints.
  • Prepare, review, and send patient statements.
  • Evaluate patients’ financial status and establish budget payment plans.
  • Review and report the status of delinquent accounts.
  • Maintain current knowledge of coding, procedures, and legislative changes related to billing.
  • Correct rejected billings and resubmit them.
  • Perform collection actions, including contacting patients by phone and correcting and resubmitting claims to third-party payers.
  • Process payments from insurance companies.
  • Maintain accounts receivable aging analysis.
  • Conduct work in accordance with the WWFHC employee manual.
  • Maintain confidentiality and adhere to HIPAA guidelines and regulations.
  • Identify and perform tasks within Epic.
  • Perform other functions as determined by the Billing Manager.
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