Dental Insurance Remote Billing Specialist

The Practice Mechanic • Reading, PA

7h • 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. This position involves understanding the entire dental revenue cycle, ensuring timely and accurate posting of insurance payments, and preparing and submitting clean claims to insurance companies daily.

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, and internal teams to support the company’s mission.
• 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.
• 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.
• Proficiency in Program Management systems of Eaglesoft, Open Dental and Dentrix.
• Maintain a posting accuracy of 98% +.
• Maintain an overall audit score of 90% +.

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 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.
• Utilize HIPAA guidelines at all times.

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: Mid Level
• Education Level: High school or GED