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Job description
Billing Specialist DentalThe Billing Specialist Dental is responsible for the patient registration process, insurance verification process, and financial arrangement issues at the dental clinic. This position verifies third party payer accounts, pre-authorization and/or pre-certification requirements. In addition to these responsibilities the Dental Billing Specialist, will be responsible for all dental billing functions and any subsequent Medicaid/Private payer audits. This position assists patients with questions regarding bills and insurance, and alternative payment plans.The Dental Billing Specialist will be responsible for interfacing with all private payers or their designees (such as EviCore and Navinet) to obtain authorization for antepartum imaging, diagnostic testing, and lab studies and will facilitate physician to physician peer reviews of questionable cases. This position assures assignment of appropriate CPT and ICD-10 codes, collects quality statistical information, and assures timely follow up and processing of all accounts. Performs charge data reconciliation of all dental accounts. This position also collects data for statistical and/or financial analysis.The Dental Billing Specialist communicates and collaborates with the dental team members including providers and provides quality customer service. This position supports organizational goals by providing quality customer service, participating in performance improvement efforts and demonstrating a commitment to teamwork and cooperation.EDUCATION: High School diploma or equivalent required. Associates degree or higher preferred. Ability to read, write, and speak English is required. Bi-Lingual preferred.EXPERIENCE:5 years prior experience in hospital and professional billing office, billing, insurance or other related healthcare field requiredMinimum of 1 year prior experience in lead experience, either officially or can demonstrate with prior examples of experience requiredExcellent computer skills and working knowledge of medical terminology required.Working knowledge of Microsoft Windows Office applications and data entry functions required.REPORTING RELATIONSHIPThis position reports to department leadership.
Worksite address
atlantic city, NJ, 08401, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.