Dental Billing Specialist

CENTRAL CITY Health•Detroit, MI

48d

About The Position

In this vital role, the Dental Billing Specialist will be responsible for managing the complete billing process, ensuring accurate and timely submission of claims, and optimizing revenue cycle management. Your expertise will help streamline operations, improve cash flow, and enhance patient satisfaction by providing clear communication and efficient billing services. This position offers an exciting opportunity to utilize your medical billing skills in a fast-paced, patient-focused environment dedicated to delivering exceptional dental care. Who We Are: Central City Health (CCH) has been serving the under-housed and at-risk population in metro Detroit since 1972, by providing integrated healthcare services. Our services include primary and pediatric care, dental care, behavioral and SUD care, supportive housing, and community re-entry services, to name a few. In 2024, our President/CEO, Dr. Kimberly Farrow-Felton received the esteemed Healthcare Hero Award from Crain's Detroit Business honoring her exceptional contributions to the health and well-being of our community. Our Mission: To achieve wellness in the community by providing an array of primary and behavioral health care, housing, and substance abuse services with dignity and respect. Our Core Values: CCH is guided by a set of values in fulfilling our mission. Some of our values include: An environment that supports health and recovery. Person centered principles in the delivery of care. An environment characterized by cultural sensitivity, integrity, teamwork and trust. A commitment to service excellence and continuous quality improvement. Persons served take both an active part in their treatment and the organization. An atmosphere of welcoming and accessibility to people seeking our services that assures "no wrong door." Job Summary: In this vital role, the Dental Billing Specialist will be responsible for managing the complete billing process, ensuring accurate and timely submission of claims, and optimizing revenue cycle management. Your expertise will help streamline operations, improve cash flow, and enhance patient satisfaction by providing clear communication and efficient billing services. This position offers an exciting opportunity to utilize your medical billing skills in a fast-paced, patient-focused environment dedicated to delivering exceptional dental care.

Requirements

Proven experience in medical billing within a dental or healthcare setting.
Strong knowledge of CPT coding, ICD-9/ICD-10 coding systems.
Experience working with EMR systems and EHR platforms for accurate data entry.
Solid understanding of medical terminology, medical records management.
Excellent communication skills for interacting with insurance companies.
Ability to analyze claims data critically to identify discrepancies.
Knowledge of medical collection procedures.

Responsibilities

Prepare and submit dental insurance claims using electronic medical record.
Review patient records to verify coverage details, and eligibility.
Apply appropriate coding standards and other medical coding conventions.
Reconcile payments received from insurance companies and patients.
Follow up on unpaid or denied claims through effective medical collections.
Maintain detailed and organized medical records related to billing transactions.
Communicate proactively with insurance providers to resolve claim issues.
Assist patients with billing inquiries, payment plans, and explanation of benefits.
Stay updated on changes in medical billing regulations and coding updates.