Dental Billing Specialist

Fair Haven Community Health Care•New Haven, CT

6d•Onsite

About The Position

For over 54 years, FHCHC has been an innovative and vibrant community health center, catering to multiple generations with over 165,000 office visits across 21 locations. Guided by a Board of Directors, most of whom are patients themselves, we take pride in being a healthcare leader dedicated to delivering high-quality, affordable medical and dental care to everyone, regardless of their insurance status or ability to pay. Our extensive range of primary and specialty care services, along with evidence-based programs, empowers patients to make informed choices about their health. As we expand our reach to underserved areas, our commitment to prioritizing patient needs remains unwavering. FHCHC's mission is to enhance the health and social well-being of the communities we serve through equitable, high-quality, and culturally responsive patient-centered care. Job purpose Fair Haven prides itself on efficient billing services including the filing of claims, appeals processing, authorizations, and, above all, a great passion for helping individuals obtain treatment. The Billing Specialist/Dental Authorization Coordinator works with the Billing and Dental department verifying benefits for patients and ensuring benefits quoted are accurate and detailed.

Requirements

High School diploma or GED is required.
Experience in a dental setting is essential.
The ideal candidate will have a minimum of one year of dental authorizations and billing experience
excellent Interpersonal skills, accuracy and attention to detail a must.
The selected candidate will have the ability to work in a team environment or independently
to meet all established deadlines, metrics and assignment goals at all times
oral and written proficiency in English.
He/she must be able to use computer and multi-lined telephones
have an understanding of dental terminology and knowledge and experience in billing and authorization practices specific to Medicaid
Please note candidates must be able to commute to our New Haven and Branford, Connecticut Offices.

Nice To Haves

Bi-lingual in English and Spanish is highly preferred.

Responsibilities

Performs billing and computer functions, including data entry, documentation review and encounter posting
Prepares and submits clean claims to various insurance companies either electronically or by paper when necessary
Work claims and claim denials to ensure maximum reimbursement for services provided
Verifying patients' insurance and obtaining coverage breakdowns
Creating ABNs as needed based on coverage
Schedule/treatment plan reviews for carrier authorization
Obtaining and logging prior authorizations for procedures as mandated by carriers.
Prepare, review and send patient statements
Process and send “collections” letters for outstanding balances
Process all returned mail
Answer incoming patient billing phone calls, work to resolve patient issues
Initiating collection calls and setting up and maintaining payment arrangements
Follow collections process as outlined in FHCHC billing guideline