Senior RCM/Dental Biller

Salary: $18-24

Are you excited by the challenge of battling with the insurance companies to get your claims paid?
Is "denied" a four letter word in your vocabulary?
Do you enjoy winding your way through the maze of umbrella networks and shared network agreements to maximize your reimbursement rates?
If so, the Gold Coast Dental RCM team could be the perfect spot for you to shine! We are looking for an experienced dental RCM team member to join our team and help take us to the next level. This is a full time in-office position in La Habra, CA for a 20 office PPO and HMO dental group (no Dentical.)
And now for a Chat GPT generated, but still pretty good, generic job description:
Position OverviewWe are seeking an experiencedDental Biller / RCM Specialistto join our growing dental group. The ideal candidate will be responsible for managing the full revenue cycle for multiple dental offices, ensuring accurate claim submissions, timely payments, and effective resolution of insurance and patient account balances. This position requires strong knowledge of dental billing procedures, insurance claim processes, and dental terminology, as well as excellent organizational and communication skills.Key ResponsibilitiesInsurance Claims & Billing

• Prepare, review, and submit electronic and paper claims for dental services provided.
• Verify claim accuracy, ensuring proper CDT and diagnosis coding.
• Track and follow up on outstanding insurance claims to ensure timely payment.
• Resubmit corrected claims when necessary.

Insurance Verification & Coordination

• Work closely with front office teams to confirm patient insurance eligibility and coverage.
• Assist with pre-authorizations and predeterminations for major dental procedures.
• Be involved with Fee Schedule negotiations and entry

Accounts Receivable & Collections

• Post insurance and patient payments accurately to patient accounts.
• Identify and resolve payment discrepancies.
• Generate patient statements and follow up on outstanding balances.
• Manage collection activities in compliance with company policies and applicable regulations.

Communication & Support

• Respond promptly to inquiries from patients, insurance companies, and internal team members regarding billing matters.
• Provide guidance to office staff on billing best practices and insurance requirements.
• Maintain detailed records of all billing activities.

Compliance & Accuracy

• Maintain confidentiality and comply with HIPAA regulations.
• Stay updated on industry changes, CDT code updates, and insurance policies.
• Follow company policies, procedures, and standard operating guidelines.

QualificationsRequired:

• 2 years of dental billing experience in a multi-office or dental group setting.
• Knowledge of dental insurance plans, CDT codes, and claim submission processes.
• Proficiency with dental practice management software (e.g., Dentrix, Eaglesoft, Open Dental). We use Open Dental
• Strong attention to detail and accuracy in data entry.
• Excellent problem-solving and follow-up skills.
• Strong communication and customer service skills.

Preferred:

• Familiarity with PPO, HMO, and fee-for-service billing.
• Bilingual in English and Spanish.

Work Environment & Benefits

• Full-time position; MondayFriday schedule.
• Opportunities for growth within a multi-location dental group.
• Competitive compensation based on experience.
• Benefits package including health insurance and dental care discounts