#828 - Billing Specialist Clinic - Careerboard

Summary:
Responsible for all aspects of charge entry, working denial report and researching and responding to billing tasks, posting payments, reprocessing of rejections, correspondence, patient inquiries, denials and regulation requirements. Ensures work is done accurately, timely, and in compliance with federal, state, and payer specific regulations.

Formal Education Required:
- High school graduate with business or accounting emphasis preferred
- Associate degree in business or accounting preferred

Experience and Training Required:
- One year of dental billing and front desk experience in dental office setting strongly preferred
- Knowledge of federal, state, and payer specific regulations for 'clean claim' submission.
- General knowledge of ADA (American Dental Association) and CDT (Current Dental Terminology) codes for claim submission
- General knowledge of managed care contracts, Medicaid, and traditional dental insurance and reimbursement methodologies.
- General understanding of revenue cycle and accounts receivable.
- PC software experience and knowledge (ie: Excel, Word, Dental Software Programs-Dentrix, Eaglesoft, Softdent, etc.) preferred

Other Skills, Competencies and Qualifications:
- Ability to effectively communicate verbally and in writing with those contacted in the course of work.
- Ability to maintain confidentiality of patient information and financial records.
- Analytical and problem solving skills for claim correction and account resolution.
- Ability to make good decisions, think independently, and work as a team player.
- Working knowledge of computers, calculators, and other equipment used in a professional setting.
- Population Specific Competency: ability to effectively interact with populations of patients/customers with an understanding of their needs for self-respect and dignity