Dental Billing Clerk

Key Responsibilities

• Prepare, review, and submit dental claims in accordance with Denti-Cal/Medi-Cal guidelines.
• Ensure proper use of CDT codes, modifiers, and treatment authorizations (TARs).
• Verify eligibility and benefits prior to claim submission.
• Monitor claim status and resolve denials, including documentation and X-ray requirements.

EHR Review & Documentation Validation

• Review patient charts to ensure billed procedures are supported by documentation.
• Verify required X-rays (bitewings, periapical, panoramic) are present and compliant.
• Confirm procedure notes, tooth numbers, surfaces, and clinical justification.
• Collapse corrections with providers prior to submission.

Commercial Billing

• Submit claims to commercial carriers and manage coordination of benefits.
• Post payments and identify denial trends.

Accounts Receivable

• Work A/R reports and follow up on unpaid claims.
• Correct and resubmit claims as needed.

Compliance

• Maintain compliance with HRSA, CMS, DHCS, and HIPAA requirements.
• Support audits and ensure documentation integrity.

Collaboration

• Communicate with providers and staff regarding documentation issues.
• Assist with training and workflow improvements.

Desired Qualifications

• High School Graduate and/or billing certificate
• Type 35-45 wpm & Computer skills
• Customer services experience
• Bilingual Spanish preferred
• Strong organizational skills
• Must be a team player

Benefits

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Pay

$ 21 per hr

Schedule

8 hour shift

Day shift

Monday to Friday

Ability To Commute/relocate

Atwater, CA 95301: Reliably commute or planning to relocate before starting work (Required)

Work Location

In person