Description:
Job Overview
The Insurance Billing Specialist is responsible for all billing of dental claims electronically and correspondence via mail, data entry, and general office tasks and duties including, but not limited to benefits eligibility verification and tracing claims and payments. Requirements:
QualificationsKnowledge of insurance guidelines including HMO/PPO/Denti-Cal
Electronic billing experience preferred
Ability to organize insurance, HMO, Denti-Cal information, claims, encounters, tracers, etc.
Means to travel from one office to another, required as necessary

Responsibilities and DutiesPrint claims daily (Denti-Cal, PPO, HMO)
Request any additional information that is needed from the office in order to send out claims for payment
Send out claims and document billing notes
Process requests via email from offices in the field
Print electronic claims reports and make any corrections that are needed in order for claims to be sent electronically. Request any additional information from office that is needed to make these corrections
Send out all re-submittals
Appeal denied claims
Print and submit treatment authorizations requests daily
Run weekly reports for unbilled insurances
Process attachments through Dentrix
Work with your team members in processing claims
Trace outstanding claims
Provides customer service to the affiliated dental practices, through the call center, as well as email
Maintain accurate billing data, reporting/supporting documents, records, and reports
Communicate issues and suggestions to improve processes
Participate in committees, special projects, staff meetings, and team huddles as requested
Maintains an appropriate professional appearance and demeanor in accordance with Company policies
Ensure compliance with Company policies, as well as State, Federal and other regulatory bodies
Other duties as assigned by the Office Manager, Regional Manager, and/or Leadership team

EducationA high school diploma or general education degree (GED) required

ExperienceAt least 2 years of related work experience in a dental setting