Newyorkfamilydentistry
We are looking for an organized, adaptable and experienced Dental Billing Specialist for Dental group.
The Dental Billing Specialist is responsible for achieving the billing targets of the practices. This person must have prior dental billing experience and be familiar with Government and Commercial Insurance plans.
Key Responsibilities
Posting CDT codes to patient’s ledger based on provider clinical notes according to billing guidelines
Submission of insurance claims using practice management software
Ensuring claims are submitted with correct attachments such as x-rays, narratives, perio charting and intraoral photos
Ascertaining why claims have been rejected and corrective measures
Identifying irregularities such as missing payments, missing procedures etc in patient accounts
Responsible for reconciling all payments received by the practice through multiple payment methods
Processing prior authorizations for procedures on behalf of the patient
Auditing clinical notes by treatment coordinators and posting procedures to patient’s treatment plan
Compiling dental records in response to requests from patients and dental insurances
Qualifications
Experience in Dental Office setting of at least 5-10 years
Excellent knowledge of Dental Insurances, specifically PPO, DMO, DHMO (Capitation), and NYS Managed Care Programs
Understanding In-network /Out-of-network benefits as well as fee for service
Possess working knowledge of General Dentistry and Orthodontics such as common procedures and treatment
Up to date knowledge of ADA billing guidelines including CDT coding updates and frequency limitations
Strong English written and verbal communication skills to effectively relate data to coworkers
Excellent critical thinking skills to help solve business problems and make decisions
Possess our core values of commitment, quality, respect, communication and teamwork
Demonstrated ability to manage time and prioritize projects to meet deadlines
Have a high speed internet connection and dedicated workspace in order to work from home
Ability to maintain confidentiality regarding highly sensitive issues
Ability to work collaboratively with managers and team members in NYFD Field Operations and NYFD HQ Operations
General Skills
Insurance verification
Claims processing
Payment posting
RCM
Dental Insurance Plans
EOBS
Fee Schedules
#J-18808-Ljbffr
The Dental Billing Specialist is responsible for achieving the billing targets of the practices. This person must have prior dental billing experience and be familiar with Government and Commercial Insurance plans.
Key Responsibilities
Posting CDT codes to patient’s ledger based on provider clinical notes according to billing guidelines
Submission of insurance claims using practice management software
Ensuring claims are submitted with correct attachments such as x-rays, narratives, perio charting and intraoral photos
Ascertaining why claims have been rejected and corrective measures
Identifying irregularities such as missing payments, missing procedures etc in patient accounts
Responsible for reconciling all payments received by the practice through multiple payment methods
Processing prior authorizations for procedures on behalf of the patient
Auditing clinical notes by treatment coordinators and posting procedures to patient’s treatment plan
Compiling dental records in response to requests from patients and dental insurances
Qualifications
Experience in Dental Office setting of at least 5-10 years
Excellent knowledge of Dental Insurances, specifically PPO, DMO, DHMO (Capitation), and NYS Managed Care Programs
Understanding In-network /Out-of-network benefits as well as fee for service
Possess working knowledge of General Dentistry and Orthodontics such as common procedures and treatment
Up to date knowledge of ADA billing guidelines including CDT coding updates and frequency limitations
Strong English written and verbal communication skills to effectively relate data to coworkers
Excellent critical thinking skills to help solve business problems and make decisions
Possess our core values of commitment, quality, respect, communication and teamwork
Demonstrated ability to manage time and prioritize projects to meet deadlines
Have a high speed internet connection and dedicated workspace in order to work from home
Ability to maintain confidentiality regarding highly sensitive issues
Ability to work collaboratively with managers and team members in NYFD Field Operations and NYFD HQ Operations
General Skills
Insurance verification
Claims processing
Payment posting
RCM
Dental Insurance Plans
EOBS
Fee Schedules
#J-18808-Ljbffr