Dental Billing Clerk

Castle Family Health Centers•Atwater, CA

7d•$21 - $21•Onsite

About The Position

Key Responsibilities: Medi-Cal (Denti-Cal) Billing – Primary Focus: - Prepare, review, and submit dental claims in accordance with Denti-Cal/Medi-Cal guidelines. - Ensure proper use of CDT codes, modifiers, and treatment authorizations (TARs). - Verify eligibility and benefits prior to claim submission. - Monitor claim status and resolve denials, including documentation and X-ray requirements. EHR Review & Documentation Validation: - Review patient charts to ensure billed procedures are supported by documentation. - Verify required X-rays (bitewings, periapical, panoramic) are present and compliant. - Confirm procedure notes, tooth numbers, surfaces, and clinical justification. - Coordinate corrections with providers prior to submission. Commercial Billing: - Submit claims to commercial carriers and manage coordination of benefits. - Post payments and identify denial trends. Accounts Receivable: - Work A/R reports and follow up on unpaid claims. - Correct and resubmit claims as needed. Compliance: - Maintain compliance with HRSA, CMS, DHCS, and HIPAA requirements. - Support audits and ensure documentation integrity. Collaboration: - Communicate with providers and staff regarding documentation issues. - Assist with training and workflow improvements. Desired Qualifications: o High School Graduate and/or billing certificate o Type 35-45 wpm & Computer skills o Customer services experience o Bilingual Spanish preferred o Strong organizational skills Must be a team player

Requirements

High School Graduate and/or billing certificate
Type 35-45 wpm & Computer skills
Customer services experience
Strong organizational skills
Must be a team player
Ability to commute/relocate: Atwater, CA 95301: Reliably commute or planning to relocate before starting work (Required)

Nice To Haves

Bilingual Spanish preferred

Responsibilities

Prepare, review, and submit dental claims in accordance with Denti-Cal/Medi-Cal guidelines.
Ensure proper use of CDT codes, modifiers, and treatment authorizations (TARs).
Verify eligibility and benefits prior to claim submission.
Monitor claim status and resolve denials, including documentation and X-ray requirements.
Review patient charts to ensure billed procedures are supported by documentation.
Verify required X-rays (bitewings, periapical, panoramic) are present and compliant.
Confirm procedure notes, tooth numbers, surfaces, and clinical justification.
Coordinate corrections with providers prior to submission.
Submit claims to commercial carriers and manage coordination of benefits.
Post payments and identify denial trends.
Work A/R reports and follow up on unpaid claims.
Correct and resubmit claims as needed.
Maintain compliance with HRSA, CMS, DHCS, and HIPAA requirements.
Support audits and ensure documentation integrity.
Communicate with providers and staff regarding documentation issues.
Assist with training and workflow improvements.