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  • Dental Billing Specialist - Charleston - FETTER HEALTH CARE NETWORK INC

    FETTER HEALTH CARE NETWORK INC
    FETTER HEALTH CARE NETWORK INC Charleston

    3 weeks ago

    Default job background
    Full time
    Description

    Job Title

    Dental Billing Specialist


    About the Role

    Under the supervision of the Director of Financial Services, this role is responsible for the timely completion of all billing functions.

    • Maintain accurate patient account records
    • Process payments and changes
    • Timely payer reimbursements and follow-up for denied claims

    Key Responsibilities

    1. Review dental records to verify proper coding based on current guidelines and work with clinical staff
    2. Ensure dental records are signed by appropriate parties
    3. Effectively manage coding and billing-related inquiries from patients and providers
    4. Process timely claim submissions with a goal of zero errors
    5. Continuous follow-up and resolution for insurance claim denials, exceptions, or exclusions
    6. Contact insurance payer regarding claim denials, including appeal submission with documentation
    7. Respond to inquiries from insurance companies, patients, and providers
    8. Monitor monthly aging A/R reports to process claims aged over 30 days
    9. Identify coding and billing errors and work with clinical staff to ensure services are submitted to payors
    10. Communicate patterns of billing errors, inaccurate payments, and posting errors to supervisor
    11. Reduce overall delinquent patient A/R
    12. Create and maintain meticulous records of follow-up efforts via billing system
    13. Understand and adhere to HIPAA and PHI guidelines
    14. Perform other job-related duties as assigned

    Requirements

    • High school graduate or equivalent
    • Minimum one year medical billing experience or equivalent combination of experience, training, and/or education
    • Excellent verbal and written communication skills and strong interpersonal skills
    • Certified Professional Coder (CPC) certification and FQHC experience preferred

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