Insurance Biller

Position Summary

Responsible for processing Insurance claims and cash billing for all Dientes sites

Essential Functions/Responsibilities

• Review and post all daily patient visits for each site

• Audit each visit/account for accuracy; determine MC eligibility, assure patient

account information is entered & complete, visit follows MC criteria of coverage

to bill, review DDS/HYG chart notes to see if complete, accurate, signed/locked,

appropriate charge is recorded and cash payments collected. Edit and correct

as needed.

• Create & transmit Medi-Cal e-claims; paper claims as needed

• Process HPHP, EIS & Cash visits for all Dientes sites

• Audit each account to ensure all insurance information is complete, accurate

and has proper ID numbers and back up and MC eligibility is completed

• Add any Front Office corrections to the FO FYIs spreadsheet

• Run daily production reports and save on the U: drive in the proper location

• Provide support to Front Office staff as needed

• Provide support to Clinic and Outreach managers as needed

• Post MC insurance payments and balance; make any adjustments needed

• CalAim program billing as needed

• Back up Billing Manager as needed

• Other duties as assigned to support billing team

Education and/or Experience

• 2 years of dental insurance billing experience

• Medi-Cal experience preferred

• Dental Knowledge and terminology required

• Ability to read a dental x-ray

• Knowledge of dental software; Dentrix preferred

Skills/Specialized Knowledge

• Attention to detail and accuracy

• Excellent organizational skills

• Computer literate

• Quick learner

• Good communication

Physical /Mental Demands

• Standing, walking, sitting, typing, reaching, bending, moving and/or lifting up to

50 pounds

• Performs a variety of duties, often quickly, switching from one task to another

• Performs with frequent interruptions or distractions

• Completes specific tasks within established time guidelines

• Adjusts priorities quickly as circumstances dictate

• Ability to interact appropriately with colleagues for different purposes in different

contexts

• Ability to interact in a professional and respectful manner to external customers

and vendors

• Ability to remain in a stationary position a minimum of 50% of the time

• Must be able to occasionally move about inside the office to access file cabinets,

office machinery, etc.

• Constantly operates a computer and other office machinery such as a calculator,

copy machine, computer printer, etc.

• Must have the ability to see visually at close and long distances, have the ability

to hear/listen, speak, interpret written text and/or numeric data, accurately

interpret written and verbal instructions

Work Environment/Other

• Office Environment

Job Type: Full-time

Pay: $26.00 - $28.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee discount
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Application Question(s):

• Are you looking to work 40 hours a week?
• What interested you to apply for our Insurance Biller position?

Education:

• High school or equivalent (Required)

Experience:

• Dental receptionist: 2 years (Preferred)

Location:

• Santa Cruz, CA 95062 (Preferred)

Ability to Commute:

• Santa Cruz, CA 95062 (Required)

Ability to Relocate:

• Santa Cruz, CA 95062: Relocate before starting work (Required)

Work Location: Hybrid remote in Santa Cruz, CA 95062

Salary : $26 - $28