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Billing Specialist

Company: Dynamic Growth Dental Support
Location: Ephrata
Posted on: February 25, 2021

Job Description:

Billing SpecialistMISSION: The mission of this role is to handle billing receivables and perform resolution-oriented claims submission to achieve A/R resolution goals. This role receives and responds to inquiries from Insurance Companies and patients, processes correspondence and documents all work activity in electronic patient files.The Billing Specialist is responsible for the timely reconciliation of outstanding claims and other aspects of the revenue cycle while interacting positively with co-workers, patients, and external contacts in a prompt and respectful manner. The ideal candidate must make sure all proper insurance reimbursements are received for all services provided and possess experience in dealing with insurance companies in order to and be able to work around their stall tactics to get claims paid. This position plays an integral role within the Dynamic Growth Billing team and has the potential to grow into a leadership role.JOB REQUIREMENTS: Job specific skills include but are not limited to dental billing knowledge, extreme attention to detail, multi-tasking, strong communication skills and quantitative analytical abilities.OBJECTIVES:* Reviews, monitors, inputs and completes dental claims into computerized billing system according to specific payor guidelines on a daily basis. An experienced Billing Specialist will be able to confidently know what attachments and narratives are required for each claim for best possible payout/reimbursement. * Process payment from insurance companies including paper checks and EFT Deposits.* Understand and work effectively with the EFT process from each insurance company.* Work with weekly Insurance Aging and AR reports to investigate unpaid claims. Follow-up, correct and/or appeal/resubmit claims until they are paid. * Access all insurance company websites to access information for individual patients.* Conduct follow-up phone calls with insurance carriers and/or patients to collect payment. * Work with all third-party payors to rectify all outstanding claims* Conducts research related to billing issues to resolve discrepancies. * Maintain compliant billing practices and ensure that federal, state & local laws/guidelines are followed accordingly. * Work with clinical team to obtain missing information as necessary, including working with the treating doctor to compose informative letters to submit to insurance dental consultants to get help get claims accepted and paid.REQUISITE EXPERIENCE & SKILLS:* 1-3 years of professional Medical and/or Dental Billing Experience. Knowledgeable of dental insurance guidelines and requirements for filing claims properly. * Understands basic accounting and possess excellent mathematical skills.* Strong oral, written, presentation and interpersonal communications skills to effectively interact with patients, colleagues and all levels of management, as well as internal and external vendors. * Professional phone etiquette, able to effectively communicate billing issues to patients and/or insurance companies. Must be able to maintain professional demeanor even when communicating with an anxious or agitated person. * Strong organizational skills and ability to manage multiple projects simultaneously.* Excellent problem researching and resolution skills. Persistently stays with the issue until it's satisfactorily resolved. * Must be pro-active and able to work well with minimal supervision while meeting all deadlines* Must enjoy working within and being part of a team where collaboration skills are essential. * Attention to detail and accuracy that drives to flawless execution on a daily basis is a necessity* Accountable and responsible with a results-oriented mindset is needed* Must be able to recognize and adapt to change in a fast-paced environment* Driven, self-motivated individual to grow the department and process improve* Demonstrated ability to understand patient charts including x-rays and clinical notes and how to properly translate procedures and diagnoses into dental coding. * Understand allll insurance and collections laws and adhere to all HIPAA guidelines and regulations. Maintains strict adherence to confidentiality at all times. JOB QUALIFICATIONS:* High-School Diploma or GED* Certified in Billing is a Plus* Proven analytical and problem-solving skills* Strong understanding of calculations and dental terminology (i.e. reading and explaining an EOB)* Must be proficient (to advanced) with Microsoft Office Word, Excel. * Demonstrated ability to learn new computer systems and possessesa working knowledge of accounting ledgers. * Ability to work overtime if needed * Ability to sit in front of computer for long hours every day. REPORTING RELATIONSHIPS:* This position will report directly to the Billing Manager, Dynamic Growth DentalPowered by JazzHRysziO5F5vz

Keywords: Dynamic Growth Dental Support, Reading , Billing Specialist, Accounting, Auditing , Ephrata, Pennsylvania

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