Overview
Join our dynamic healthcare team as a Dental Insurance Billing Specialist, where your expertise will drive the efficiency of our dental insurance claims process. In this vital role, you will manage the billing and reimbursement procedures for dental insurance claims, ensuring accurate coding, timely submissions, and effective communication with insurance providers. Your proactive approach will help optimize revenue cycles and enhance patient satisfaction through precise and transparent billing practices.
Duties
- Review and verify dental insurance claims for accuracy, completeness, and compliance with coding standards such as CPT (Current Procedural Terminology), ICD-9, ICD-10, and DRG (Diagnosis-Related Group) codes.
- Prepare and submit electronic or paper claims using specialized billing software and EMR (Electronic Medical Records) systems.
- Follow up on unpaid or denied claims by analyzing reasons for denials, resubmitting corrected claims, and appealing when necessary to secure reimbursement.
- Collaborate with dental office staff to ensure proper documentation of medical records and treatment details align with billing requirements.
- Maintain detailed records of all billing activities, claim statuses, and correspondence with insurance carriers to ensure transparency and audit readiness.
- Stay updated on healthcare claims management policies, health insurance regulations, and changes in medical coding standards to ensure compliance.
- Provide exceptional customer service by addressing patient inquiries related to insurance coverage, claim status, and billing concerns promptly and professionally.
Requirements
- Proven experience in medical billing with a focus on dental insurance or healthcare claims management.
- Strong knowledge of medical terminology, dental procedures, and coding systems including CPT, ICD-9, ICD-10, ICD coding practices, and DRG classifications.
- Familiarity with billing software platforms, EMR/EHR systems, and Microsoft Office applications for documentation and reporting purposes.
- Ability to interpret health insurance policies and explain coverage details clearly to patients.
- Excellent organizational skills with keen attention to detail to ensure accuracy in claim submissions and record keeping.
- Effective communication skills to liaise confidently with insurance companies, healthcare providers, and patients.
- Knowledge of medical records management, medical coding standards, and healthcare regulations is highly desirable.
Embark on a rewarding career where your expertise in dental insurance billing makes a meaningful difference! We’re committed to providing a supportive environment that values your skills while offering opportunities for growth within the healthcare industry.
Tipo de puesto: Medio tiempo
Sueldo: $35.00 - $40.00 la hora
Beneficios:
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Lugar de trabajo: Empleo presencial
