Medical/Dental Billing Specialist

We are seeking a team member with a minimum of two years of experience in medical and dental billing to join our team. This individual will be a full-time, goal-oriented, revenue-driven, highly accurate, and motivated Biller. Primary duties include but are not limited to consistently following up on unpaid claims using monthly aging reports, filing claims to obtain maximum reimbursement, and establishing and maintaining strong relationships with providers, clients, patients, and fellow staff members.

**This position is an on-site role and does not offer remote or hybrid work options.**

REQUIRED SKILLS

·         Proficiency with computer systems, including but not limited to: Practice Management software (MicroMD, etc.) and Dentrix (required), as well as spreadsheet applications.

·         Experience with CPT and ICD-10 coding; familiarity with medical and dental terminology.

·         Excellent customer service skills.

·         Strong written and verbal communication skills.

·         Ability to manage relationships with various insurance payers.

·         Professional appearance; pleasant speaking voice and demeanor; positive attitude.

·         Responsible use of confidential information with knowledge of HIPAA privacy requirements.

·         Compliance with company policies and procedures.

·         Ability to multitask and work courteously and respectfully with fellow employees, clients, and patients.

DETAILED WORK ACTIVITIES

·         Ensure all claims are submitted with a goal of zero errors.

·         Verify completeness and accuracy of all claims before submission.

·         Conduct timely follow-up on insurance claim denials, exceptions, or exclusions.

·         Meet required deadlines.

·         Read and interpret insurance explanations of benefits (EOBs).

·         Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days.

·         Respond to inquiries from insurance companies, patients, and providers.

·         Regularly meet with the Manager to discuss and resolve reimbursement issues or billing obstacles.

·         Attend monthly staff meetings and continuing education sessions as requested.

·         Perform additional duties as assigned by supervisory or management staff.

REQUIRED EDUCATION & EXPERIENCE

·         High school diploma or equivalent.

·         Medical Billing and Coding Certification.

·         Two or more years of experience.

·         Familiarity and experience with Federally Qualified Health Centers (FQHCs) strongly preferred.