Dental Billing Specialist

Default GeBBS Healthcare Solutions•East Haven, CT

About The Position

The Dental AR Billing Specialist ensures accurate and timely management of accounts receivable by processing insurance claims, resolving billing discrepancies, and securing payments, thereby supporting the financial health and operational efficiency of the dental practice.

Requirements

Dental Billing Software Proficiency
Familiarity with dental billing and practice management systems.
Electronic Claims Processing
Submitting and tracking electronic claims (e-claims)
Understanding of CDT (Current Dental Terminology) coding
Knowledge of clearinghouses and rejection handling
Accounts Receivable Management
Managing aged accounts
Performing AR follow-up and reconciliation
Dental Insurance Verification
Verifying dental insurance eligibility and benefits
Coordination of benefits (COB)
Knowledge of PPO, HMO, Medicaid, and Fee-for-Service plans
Denial & Appeal Management
Identifying denied or underpaid claims
Drafting and submitting appeals
Understanding EOBs (Explanation of Benefits) and ERA (Electronic Remittance Advice)
ICD & CDT Coding Knowledge
Understanding of ICD-10 codes (when applicable)
Proficient in CDT coding for dental procedures
HIPAA Compliance
Knowledge of privacy and security regulations in healthcare billing
Handling of sensitive patient financial and health information
Excel & Data Management
Using spreadsheets for AR tracking and reporting
Payment Reconciliation
Matching payments to procedures and invoices

Responsibilities

Generate, scrub and submit accurate dental insurance claims (electronic and paper) in a timely manner.
Review and fix all errors/rejections/edits preventing claims from going out.
Review and follow up on unpaid or denied claims to ensure prompt payment.
Review undistributed insurance and patient payments for possible overpayment or incorrect posting.
Verify dental insurance benefits and pre-authorizations when necessary.
Work aging reports/WQs and follow up with insurance companies on overdue accounts.
Communicate with patients regarding their balances and set up payment arrangements if needed.
Identify and resolve billing discrepancies and appeal denied claims as needed.
Maintain thorough documentation of all billing and collection activities.
Collaborate with front office and clinical staff to ensure billing accuracy.