Dental Billing Specialist

Oklahoma City Indian ClinicOklahoma City, OK
10dOnsite

About The Position

Oklahoma City Indian Clinic (OKCIC) is a non profit corporation that provides culturally sensitive health care to the American Indian population. OKCIC services not only include basic medical care, but also dental, optometry, behavioral health services, fitness, nutrition and other family programs. Our mission is to provide excellent healthcare to American Indians. We do this by putting people first, providing quality services, and maintaining our Integrity and Professionalism. We are looking to add compassionate team players to our growing team as we continue to work toward our goal of becoming the national model for American Indian Health Care. The Dental Claims Processor is responsible for processing all dental claims for adjudication and payment, ensuring accuracy and compliance with HIPAA regulations. This role supports the Dental Department by submitting claims, correcting errors, investigating questionable claims, and maintaining compliance with billing and coding standards.

Requirements

  • Must align with OKCIC vision, mission and core values.
  • High school diploma or GED.
  • Two (2) years’ experience in Dental billing.
  • Knowledge of Medicare, Medicaid, commercial dental insurance plans, and ICD-10, CPT, CDT codes.
  • Ability to use claims clearinghouse software, EDS.

Responsibilities

  • Submit HIPAA compliant claim batches to Medicare, Medicaid, and commercial insurers
  • Follow-up on Invalid claims in EDS. Utilize the invalids report in EDS to make corrections to claims.
  • Investigates questionable claims and services with certified coders—answers phone calls regarding claims questions as needed.
  • Create and process claims in the Dentrix and EDS.
  • Create claims to meet timely filing codes.
  • Submit and follow-up on HIPAA Compliance Claims.
  • Participates in any/all training and educational activities necessary to fulfill the minimum requirements specified interdepartmental goals.
  • Research training opportunities pertinent to the dental billing office to remain current with billing practices and coding changes; submits suggested training ideas to the Dental Director for approval.
  • Thoroughly reviews claims to ensure that there is no missing or incomplete information.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

51-100 employees

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