Posting CDT codes to patient’s ledger based on provider clinical notes according to billing guidelines
Submission of insurance claims using practice management software
Ensuring claims are submitted with correct attachments such as x-rays, narratives, perio charting and intraoral photos
Ascertaining why claims have been rejected and implementing corrective measures
Identifying irregularities such as missing payments, missing procedures etc in patient accounts
Responsible for reconciling all payments received by the practice through multiple payment methods
Processing prior authorizations for procedures on behalf of the patient
Auditing clinical notes by treatment coordinators and posting procedures to patient’s treatment plan
Compiling dental records in response to requests from patients and dental insurances

Experience in Dental Office setting of at least 5-10 years
Excellent knowledge of Dental Insurances, specifically PPO, DMO, DHMO (Capitation), and NYS Managed Care Programs
Understanding In-network /Out-of-network benefits as well as fee for service
Possess working knowledge of General Dentistry and Orthodontics such as common procedures and treatment
Strong English written and verbal communication skills to effectively relate data to coworkers
Excellent critical thinking skills to help solve business problems and make decisions
Have a high speed internet connection and dedicated workspace in order to work from home

Dental Billing Specialist

Key skills