Dental Billing Specialist

MEDNORTH HEALTH CENTER•Wilmington, NC

2d•Onsite

About The Position

The Billing Specialist is responsible for all aspects of dental claims. The Billing Specialist, a key position in the Revenue Cycle, facilitates the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries and patients. The incumbent will assist in the clarification and development of process improvements and inquiries to maximize revenues. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements for this job description are not intended to be all inclusive. They represent typical elements considered necessary to successfully perform the job. REPORTING RELATIONSHIPS The position reports to the Revenue Cycle Manager. No staff report to this position. This position is required to be on-site.

Requirements

High School Diploma/GED
Minimum 3 years dental billing experience
Must have strong knowledge of all guidelines for ICD-10, CDT codes, dental terminology, dental procedures and dental billing processes
Knowledge of Dental Billing/EHR (Electronic Health Records) systems preferably Epic
Knowledge of Dental Reimbursements with knowledge of and EOBs, EFTs and ERAs
Knowledge of Microsoft Office software
Must be focused, self-directed, organized, and have demonstrated problem-solving abilities
Accurate and precise attention to detail
Excellent verbal and written communication skills
Able to work both independently and as part of a team
Must possess team leadership skills and have a positive disposition

Nice To Haves

FQHC Dental Billing experience will be given special consideration
Certification in Dental Billing and Coding from AAPC
ADA Dental Coding Certificate
Membership in American Dental Coders Association preferred
Certified Dental Billing Specialist (CDBS) highly preferred
Certified Dental Coader (CDC) highly preferred

Responsibilities

Prepares and submits clean claims to third party payers electronically, or via the payer portal
Follows dental billing guidelines and legal requirements to ensure compliance with federal and state regulations
Respond to inquiries from patients, payers, providers, and/or other staff as requested
Identifies and resolves patient/insurance billing issues
Work closely with team members regarding claim appeals, denials, resolution, and education
Performs and monitors all steps in the billing processes to ensure maximum reimbursement from patients, government, and commercial payers as well as from special billing arrangements
Understands Medicare, Dental Medicaid and Commercial Dental Payer rules and regulations applicable to billing and coding.
Updates business office staff, clinics, patients, and faculty of changes as appropriate
Responsible for ensuring all new providers are oriented to coding, billing, and documentation compliance
Responsible for the continuing billing and documentation education for all providers and residents
Use online healthcare databases and other resources for verification and claim status
Deliver the highest quality service to internal and external customers
Assist other members of the team with projects as needed
Maintains strict confidentiality; adheres to all HIPAA guidelines/regulations
Other duties as assigned by management
Adhere to the Mission and Values of MNHC