Patient Account Representative - Dental

Marin Community Clinics•Novato, CA

10d•Remote

About The Position

Marin Community Clinics, founded in 1972, is today a multi-clinic network with a wide array of integrated primary care, dental, behavioral, specialty, and referral services. As a Federally Qualified Health Center (FQHC), we provide vital health services to almost 40,000 individuals annually in Marin County. The Clinics regularly receive national awards from the Health Resources and Services Administration (HRSA). Our Mission is to promote health and wellness through excellent, compassionate care for all. The Patient Account Representative - Dental, under the general supervision of the Dental Patient Accounts Manager, is responsible for ensuring accurate and timely billing, insurance verification, claims processing, and accounts receivable follow-up for dental services. This role serves as a liaison between patients, dental providers, and insurance companies to ensure proper reimbursement, resolve billing discrepancies, and maintain excellent patient satisfaction. The Patient Account Representative – Dental possesses knowledge of basic dental insurance benefits, frequency limitations, claims processing, and revenue cycle management, along with exceptional communication and customer service skills.

Requirements

High School diploma or equivalent (GED) required.
Minimum of two (2) years of previous office experience required.
Proficiency in Microsoft Word and Excel and the ability to navigate within a Windows based environment.
Strong organizational and multitasking skills with the ability to manage competing priorities.
Exceptional customer service and interpersonal skills.
Demonstrated attention to detail and accuracy.
Excellent verbal and written communication skills.
Self-motivated, adaptable, and able to work effectively in a fast-paced environment while meeting deadlines.
Ability to work independently and collaboratively as part of a team.
Fulfill immunization and fit for duty regulatory requirements.
Prolonged periods of sitting at a desk and working on a computer.
Use of mouse, keyboard and headset.
Must be able to lift up to 15 pounds at times.

Nice To Haves

Dental billing or dental office experience preferred but not required.
Knowledge of dental terminology and insurance plans is a plus.
Knowledge of dental insurance guidelines preferred but not required.
Bilingual proficiency in English and Spanish is preferred but not required.

Responsibilities

Review patient accounts thoroughly to ensure accurate and up-to-date information is maintained.
Verify insurance coverage, benefits, and eligibility for dental services.
Obtain pre-authorizations for procedures when required.
Process electronic and manual charge entries accurately and in a timely manner.
Post and distribute patient and insurance payments accurately to the appropriate patient accounts.
Submit electronic and paper claims in a timely manner.
Investigate, resolve, and appeal denied claims.
Communicate with insurance providers, dental professionals, and patients regarding claims, payments, account balances, and discrepancies through various communication channels, including EHR in-basket messaging, telephone, and email.
Assist patients with payment arrangements and provide excellent customer service.
Review outstanding accounts receivable balances and process appropriate write-offs for uncollectible accounts.
Initiate and process patient refunds and insurance overpayment refunds.
Perform other duties as assigned.