Dental Billing Specialist I

About the role

Family First Health is seeking a Dental Billing Specialist for our a onsite position in our Downtown York, PA office. Candidates should have a working knowledge of dental terminology and be computer proficient or have the ability to learn. As a Dental Billing Specialist at Family First Health, candidates will be responsible for assisting Dental Billing with the creation of claims for all 5 Dental sites with additional responsibilities as listed below. This position is more than just a job, it’s an opportunity to learn and grow with a terrific team. We’re dedicated to offering trustworthy services and care. The Dental Billing Specialist position will play a large role in that. If this sounds a like a good fit, we would love to hear from you.

Responsibilities

• Participates in billing and collections of claims to both insurance companies and patients in order to achieve optimal accounts in a timely manner.
• Ensures insurance verifications are completed prior to scheduled office visits except when front desk adds in an appointment after they have received the verified schedule.
• Ensures charges, payments and adjustments are accurately posted to the billing system by front desk staff.
• Submits dental claims daily for completed encounters.
• Enters payments received into the billing system using the appropriate discounts and contractual allowances to patient accounts.
• Works denials from insurance companies to determine how the claim should be edited to obtain payment.
• Participates in training of new employees on dental billing functions at all Family First Health locations.
• Analyzes accounts receivable reports from the billing system to identify aging account balances.
• Understands and communicates the Sliding Fee Policy and procedure to staff and patients as needed.
• Sends letters or directly contacts patients and insurance carriers to resolve aging account balances.
• Processes patient and insurance refunds in a timely manner.
• Informs and assists patients in obtaining Care Credit.
• Meets with patients in person or over the telephone as requested to provide assistance with billing questions.
• Assists patients by delivering excellent customer service while ensuring problem resolution.
• Documents patient complaints and incidents as required.
• Attends and actively participates in departmental/organizational meetings as required.
• Complies with HIPAA rules and regulations.
• Assists with sorting through Dental Mail to direct Prior Authorization responses