Dental Billing Supervisor

First Choice Community Healthcare INC•South Valley, NM

just now•Onsite

About The Position

Under the general direction of the Chief Financial Officer, with direct oversight by the Dental Operations Manager, the Dental Billing Supervisor assists and serves as a supervisor for the Dental Billing Department. This role encompasses overall responsibility for dental billing and collections, addressing related questions and problems, completing special projects, maintaining patient accounts, and collaborating closely with FCCH Dental Health Center Managers on reimbursement and registration. The DBS operates in an environment involving a wide range of activities related to patient registration, coding, and billing, with the primary objective of maximizing accounts receivable collection while ensuring adherence to all state and federal billing regulations.

Requirements

Associate or Bachelor’s Degree in business administration with an emphasis in general management, accounting or finance and/or at least five (5) years’ experience in a dental billing capacity
Five (5) years of directly related experience may be substituted for education
Certified Professional Coder (current/maintained)
CPR certification within six months date of hire
Familiarity of billing and collections within a Federally Qualified Health Center environment
Comprehension of mandated sliding fee discount programs
Ability to work on a variety of assignments concurrently within established deadlines
Ability to work with others in a problem solving and team environment and expected to work alongside staff as needed
Experience and proficiency with computerized practice management systems
Knowledge of skills in dental appointment scheduling, insurance verification using insurance company portals, managing multiple priorities, and telephone techniques
Experience and proficiency with Medicaid and Medicare reimbursement rules and regulations
Billing experience in multiple reimbursement methodologies such as PPS (Prospective Payment System), FFS (Fee for Service) third party billing agreements. Including In-Network and Out of Network claims submissions and aged accounts receivable
Extensive knowledge of third party payer billing procedures
Extensive knowledge of dental procedure and diagnostic coding
Knowledge of basic accounting procedures
Ability to organize work, set priorities, performs multiple tasks concurrently, and uses independent judgment
Lead and supervise professional staff, train, counsel, mentor, motivate and evaluate performance
Knowledge of and familiarity with compliance programs, and ability to cooperate fully and comply with laws and regulations
COVID-19 Vaccination required as a condition of employment

Nice To Haves

Experience in an electronic dental record/practice management system (such as Dentrix, Dentrix Enterprise, Eaglesoft, or Softdent)

Responsibilities

Oversees dental billing of patient, third party, and/or other programs
Submission of accurate dental claims to third party payers via an electronic process to maximize reimbursement
Posting/reconciling payments from third party payers to the dental practice management system
Researching and analyzing denied or delinquent payments from third party payers and self-pay patients and appropriately resubmitting claims to third party payers
Coordinating with Dental Health Center Managers on self-pay accounts for collection
Monitoring and approving adjustments made on accounts in the dental ledger
Accurately producing daily/weekly/monthly reporting, utilizing the dental practice management system
Collaborates with FCCH Finance Department to insure balancing of accounts and cash reconciliation
Reviews and analyzes fee schedules in dental practice management system to assure compliance with contractual agreements and comparability in the marketplace, by request of the Dental Operations Manager
Follows up on all correspondence from third party payers, patients, or legal entities
Maintains files for different payer sources
Manages day-to-day work of the dental billing staff and trains/mentors, as required
Acts as payroll supervisor for direct reports
Completes and submits dental billing employee evaluations to FCCH HR department within required timelines
Creates a working environment conducive to group effort and organizational effectiveness
Updates dental billing manuals consistent with changes in FCCH dental billing policies and communicate changes
Conducts dental registration and billing training for designated dental staff utilizing the FCCH Revenue Cycle Management model
Works on special projects assigned by Chief Financial Officer and/or Dental Operations Manager
Functions effectively under stress, to include high workload with frequent interruptions
Demonstrates organization and time management skills
Performs other job related tasks and projects as assigned