Job Overview
We are seeking a detail-oriented and energetic Medicaid Billing Specialist (Dental) to join our dynamic healthcare team. In this vital role, you will be responsible for managing the billing processes related to Medicaid dental services, ensuring accurate and timely submission of claims, and maintaining compliance with state and federal regulations. Your expertise will help facilitate smooth reimbursement workflows, support patient accounts, and contribute to the overall efficiency of our medical billing operations. If you thrive in a fast-paced environment and have a passion for healthcare finance, this is your opportunity to make a meaningful impact!
Duties
- Prepare and submit Medicaid dental claims using Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems, ensuring accuracy and completeness.
- Review dental procedures and diagnoses codes such as CPT (Current Procedural Terminology), ICD-9, ICD-10, and DRG (Diagnosis-Related Group) to ensure proper coding for reimbursement.
- Verify patient insurance eligibility, benefits, and coverage details before claim submission to prevent denials.
- Follow up on unpaid or denied claims by conducting medical collections efforts and resubmitting claims with necessary corrections.
- Maintain detailed records of medical billing activities, including claim status updates, payment postings, and correspondence with insurance providers.
- Ensure compliance with all Medicaid regulations, guidelines, and documentation requirements related to dental services.
- Collaborate with clinical staff to accurately document medical records and support billing accuracy.
Qualifications
- Proven experience in medical billing with a focus on Medicaid or dental insurance claims processing.
- Strong knowledge of medical coding including CPT coding, ICD-9/ICD-10 coding systems, DRG classifications, and ICD coding standards.
- Familiarity with EMR systems, EHR platforms, and medical records management.
- Excellent understanding of medical terminology relevant to dental procedures and billing processes.
- Demonstrated ability to perform medical collections efficiently while maintaining professionalism.
- Prior experience working in a medical office environment is highly preferred.
- Ability to interpret insurance policies, billing guidelines, and regulatory compliance standards related to Medicaid.
Join us in delivering exceptional healthcare services by ensuring accurate billing practices that support patient care and organizational success!
Pay: $22.00 - $30.00 per hour
Benefits:
- Dental insurance
- Employee discount
- Paid time off
Work Location: In person
