Dental Billing and Insurance Specialist

Job Summary

We are seeking a detail-oriented Dental Billing and Insurance Specialist to join our healthcare team. In this role, you will be responsible for managing dental insurance claims, verifying patient coverage, and ensuring accurate billing processes. Your expertise will help streamline the revenue cycle, improve patient satisfaction, and maintain compliance with healthcare regulations. If you thrive in a fast-paced environment and possess strong billing skills, this is an excellent opportunity to contribute to a dedicated dental practice committed to exceptional patient care.

Duties

• Review and process dental insurance claims using billing software and EMR (Electronic Medical Records) systems, ensuring accuracy and completeness
• Verify patient insurance coverage, benefits, and eligibility prior to procedures
• Follow up on unpaid or denied claims through dentalcare claims management processes, including resubmissions and appeals
• Maintain detailed medical records and ensure all documentation aligns with billing requirements and compliance standards
• Communicate effectively with patients regarding their insurance benefits, coverage limitations, and payment responsibilities
• Collaborate with healthcare providers to ensure proper coding practices and accurate claim submissions
• Stay updated on changes in healthcare regulations, insurance policies, and coding standards to optimize reimbursement processes
• Process monthly billings
• Weekly insurance follow-up on outstanding claims
• Posting personal and insurance payments received by mail/EFT/credit card.
• Collection calls / letters on outstanding patient personal balances
• Verification of insurance benefits
• Building new insurance plans in Dentrix
• Maintain a professional and welcoming demeanor when interacting with patients, addressing their concerns, and providing necessary information about dental procedures.
• Yearly paperwork update of insurance in network savings for binders
• Yearly payment table updates for limited insurance plans in system
• Verify/Process claims and forward them to insurance carriers.
• Dental insurance claim denial follow-up
• Inactivating patients in system
• Insurance correction and insurance refund letters
• Correction of incorrect claims processed.
• Keep insurance websites up to date and passwords updated.
• Answer billing/insurance questions for patients
• Maintain current dental insurance and employer lists.
• Greeting patients
• Register new patients according to established office protocols.
• Assist patients to complete all necessary forms and documentation.
• Verify and update patient information.
• Inform patients of dental office procedures and policy
• Move patients through appointments as scheduled.
• Enter all relevant patient information into the data system.
• Maintain and manage patient records in compliance with privacy and security regulations
• Answer and manage incoming calls.
• Respond and comply to requests for information.
• Scheduling patient appointments
• Confirm upcoming appointments and recalls according to office protocol.
• Check daily appointment schedule.
• Print patient route slips for next day appointments
• Fill in cancellations and no-shows.
• Collect and post payments from patients at the time of treatment.
• Inform patients of financial treatment plan options
• Check out patient’s and batch claim forms for dental insurance.
• Arrange supporting documents for insurance claims.
• Sort and distribute incoming and outgoing mail.
• Monitor and maintain inventory of dental office supplies.
• Maintain a professional reception area.
• Safeguard patient privacy and confidentiality
• Submit patient dental pre-treatment estimates.
• Review treatment plans with patients
• Scanning dental insurance benefit breakdowns

Experience

• Proven experience in dental billing within a dental or healthcare setting, with a strong understanding of medical terminology and records management
• Familiarity with billing software, EMR/EHR systems, and Microsoft Office applications
• Knowledge of dental insurance policies, healthcare claims management, and medical coding standards including CPT, ICD-9/10 codes, ICD coding practices, DRG classifications, and medical collections
• Excellent customer service skills with the ability to communicate complex insurance information clearly to patients and team members
• Prior experience handling medical collections and resolving claim denials effectively is highly desirable
• Strong organizational skills with attention to detail to ensure accuracy in all billing activities

Join us as a Dental Billing and Insurance Specialist where your expertise will directly impact the efficiency of our practice’s revenue cycle. We value energetic professionals who are passionate about delivering exceptional service while maintaining high standards of accuracy. This role offers an exciting opportunity to grow your career in a supportive environment dedicated to excellence in dental healthcare.

Pay: $17.00 - $21.00 per hour

Expected hours: 36.0 – 40.0 per week

Benefits:

• 401(k)
• Employee assistance program
• Employee discount
• Health insurance
• Health savings account
• Paid time off

Work Location: In person

Salary : $17 - $21