Dental Claims Specialist

About the Role

Apple Tree Dental is a nationally recognized, innovative non-profit group practice committed to delivering comprehensive, high-quality dental care to patients of all ages and abilities. We serve communities both at our Centers for Dental Health and through mobile and on-site services in long-term care and assisted living facilities, Head Start centers, group homes, and schools.

This role is an essential part of our Billing department, responsible for posting insurance payments, allocating the payments to the proper services, following up on dental and medical insurance denials, resubmitting as necessary, and subsequent collections from insurance companies and patients.

Responsibilities

• Enters checks and electronic payments from insurance companies and public programs (for selected locations)
• Allocates payments to the proper services/visit
• Submits dental and medical claims to insurance companies
• Follows up on dental and medical claims
• Reviews aging reports related to insurance, including investigating late payments and resolving dental and medical claims
• Gathers payments from all Accounts Receivable staff as well as other cash/checks received for the day, and completes the daily deposit(s) electronically or at the bank in the case of cash
• Provides backup support for the Billing Specialist and Collection Specialist
• Other duties as assigned

Why Join Us?

• Meaningful Work - Make a difference in a mission-driven, patient-centered practice
• Professional Growth - Gain valuable experience in a supportive team environment
• Inclusive Workplace - Work in a welcoming setting where all contributions are valued

Requirements

• High school diploma or GED required
• Experience working with Microsoft software, including Word and Excel
• Experience with dental/medical software, such as, but not limited to, Open Dental
• Billing and Collections experience is not required, but highly preferred

Additional Expectations

• Listens to, understands, and appropriately responds to patient/customer needs
• Meets the reasonable needs of all patient/family/customer groups and improves overall customer satisfaction
• Demonstrates professional behavior and complies with personnel and departmental policies
• Supports and participates in quality improvement activities
• Works actively with others to get the job done and consistently exhibits positive behavior/actions
• Supports and participates in changes and discussions regarding work practices
• Acts and speaks respectfully regardless of the presence or absence of the person; frequently offers praise to others for doing a good job
• Listens to and respects the opinions of others, and maintains confidentiality
• Demonstrates enthusiasm and commitment towards personal growth and development; completes and attends mandated educational courses
• Maintains current licensure and certifications, if applicable
• Attends and participates in departmental meetings, and if unable to attend, proactively gathers missed information
• Addresses issues in a courteous and respectful manner and maintains the same standard for all patients/families and co-workers
• Supports co-workers and patients/families in a positive manner
• Follows safety practices, identifies problems, and works to resolve safety issues as they occur
• Helps and teaches others regarding safety practices
• The passion and willingness to fully embrace and embody Apple Tree Dental’s mission, vision, and values
• Ability to operate a computer and basic office equipment
• Must be well organized and detail-oriented
• Excellent math skills
• Ability to work in a team and willingness to be the backup person for others on the accounting team

Physical Demands

• This position requires sitting, walking, and standing associated with a normal office environment
• Manual dexterity is needed for using a calculator, adding machine, and keyboard