Billing Representative

About the role

As a Billing Representative you will be responsible for following up on claims from billing through final resolution for our Orthodontic business line, including accurate and timely follow-up of unpaid claims, by assigned payer/s and defined aging criteria to meet or exceed collection targets and minimize write-offs.

Responsibilities

• Identifying and correcting billing errors and resubmitting claims to insurance carriers
• Process patient refunds in a timely manner
• Enter, post and reconcile payments to accounts
• Providing review and remittance advice for payment errors, denials, and under payments
• Research and resolve customer A/R issues and inquiries
• Know the insurance companies we do and do not participate with and what offices patients can and cannot be seen at
• Understand restrictions and dental policies at different insurance companies to explain to patients

Requirements

• High School Graduate/GED
• Knowledge of basic accounts receivable and accounting principles
• Healthcare (professional) billing, government, managed care and commercial insurances, claim submission requirements, reimbursement guidelines, and denial reason codes
• Understanding of the revenue cycle and how the various components work together
• Results oriented with a proven track record of accomplishing tasks
• Excellent problem-solving skills and the ability to handle multiple tasks simultaneously
• Ability to work independently and prioritize responsibilities daily in order to complete all assignments timely and accurately
• Computer literacy skills including proficiency in Microsoft Excel and Word
• Ability to recognize roadblocks that may be causing slower reimbursement and work with management team to create solutions
• Excellent written/verbal communication skills

Preferred Qualifications

• Technical School/2 Years College/Associates Degree
• Dental billing/collections/insurance terminology
• Strong organizational skills and attention to detail

Schedule

Monday - Thursday 7:30am - 4:00pm in office and Friday 7:30am - 4:00pm remote

Pay

$21 - $28/hour

Benefits

• Health, Dental, and Vision Insurance for Full-time employees
• Health Spending Account and Flexible Spending Account
• Paid Company Holidays
• Paid Time Off
• Voluntary Life and Disability Insurance
• Referral Program