Dental Insurance Billing Specialist

The Practice Mechanic • Reading, PA

2d • $18 - $25 • Remote

About The Position

Join our growing dental billing team! If you enjoy detail-oriented work, value accuracy, and want to support dental practices in providing excellent patient care, this role could be a great fit. Key Responsibilities Understand the entire dental revenue cycle, ensuring timely and accurate posting of insurance payments, in compliance with industry standards and organizational policies. Provide extensive knowledge of laws and regulations of dental coding and posting. Apply necessary and required adjustments taken on insurance payments. Efficient knowledge and implementation of Coordination of Benefits. Prepare and submit clean claims to insurance companies on a daily basis, minimizing any timely filing denials. Investigate and accurately resolve claim rejections promptly, reducing insurance aging reports numbers and simultaneously increasing insurance collections. Knowledge in proper account receivables, notation, and queueing of patient statements. Ability to read and understand Insurance Verification full breakdowns. Utilize HIPAA guidelines at all times.

Requirements

• Possess a deep understanding of Current Dental Terminology (CDT) coding
• Demonstrates radiographic knowledge and interpretation relevant to dental procedures
• Utilize insurance payer websites, both from retrieving EFT payments, claim submission, and leveraging websites to maximize claim payments
• Utilize clearinghouse knowledge to facilitate seamless data exchange
• Maintain a high level of accuracy in insurance billing techniques and documentation
• Meet deadlines consistently, ensuring timely completion of tasks
• Collaborate effectively with internal teams, external partners, and clients
• Build and maintain positive relationships with payers, vendors, internal teams, to support the company’s mission
• 2+years dental insurance billing
• Knowledge of dental terminology and effective dental revenue cycle techniques
• High school diploma or GED; some college coursework preferred
• Proficiency in Microsoft Office
• Maintain a posting accuracy of 98%+
• Maintain an overall audit score of 90%+

Nice To Haves

• some college coursework preferred

Responsibilities

• Understand the entire dental revenue cycle
• Ensure timely and accurate posting of insurance payments, in compliance with industry standards and organizational policies
• Provide extensive knowledge of laws and regulations of dental coding and posting
• Apply necessary and required adjustments taken on insurance payments
• Efficient knowledge and implementation of Coordination of Benefits
• Prepare and submit clean claims to insurance companies on a daily basis, minimizing any timely filing denials
• Investigate and accurately resolve claim rejections promptly, reducing insurance aging reports numbers and simultaneously increasing insurance collections
• Knowledge in proper account receivables, notation, and queueing of patient statements
• Ability to read and understand Insurance Verification full breakdowns
• Utilize HIPAA guidelines at all times
• Provide exceptional service to client account load of 4-5 clients, addressing inquiries and concerns
• Take accountability for the accuracy and integrity of client and patient data

Benefits

• $0 deductible Capital Blue health insurance plan with employer contribution
• Principal dental and vision plans
• 6 paid holidays per year
• PTO begins accruing on day one , with the potential to earn up to 4 weeks annually
• Employee Assistance Program providing free mental health, financial planning, and legal resources
• Flexible Spending Account (FSA)
• Dependent Care FSA (DCAP)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED