Overview
This role involves managing accounts receivable (AR) claim follow-up specifically for dental insurance claims. The position supports the reimbursement cycle by reviewing, transmitting, and correcting dental insurance claims to ensure accuracy and timely payment.
Responsibilities
- Review and transmit dental insurance claims using both electronic and manual (paper) methods.
- Review patient bills for accuracy and completeness; obtain missing information as needed.
- Identify and bill secondary or tertiary insurance carriers.
- Correct Medicaid claims through the appropriate portal or Direct Data Entry (DDE) system.
- Analyze frequent or repeated claim edits/errors to identify opportunities to streamline the billing process.
- Perform other duties as assigned.
Requirements
- High School Diploma or GED equivalent.
- Preferred: Courses in Insurance Dental Billing and Dental Terminology.
- Minimum 1 year of experience in dental aging follow-up, including familiarity with third-party healthcare claims.
- Preferred: Experience with Dentrix software.
- Knowledge of the revenue cycle process.
- Strong understanding of dental terminology.
- Intermediate math skills for calculating charges, co-payments, deductibles, and reconciling financial data.
- Strong attention to detail.
- Strong written and verbal communication skills.
- Ability to multitask and meet deadlines.
- Familiarity with insurance carrier claims resolution.
- Proficiency with Microsoft Office (Word, Excel, PowerPoint).
- Ability to work effectively in a remote environment.
Physical Demands
- Regular eye-hand coordination and manual dexterity to operate office equipment.
- Ability to work at a computer terminal for 6-8 hours per day in an environment with frequent interruptions.
- Ability to sit for prolonged periods.
- Occasionally lift and move materials weighing up to 20 lbs.
- Ability to manage elevated stress levels during periods of increased activity and multiple deadlines.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Additional Information
This job description outlines the general duties and responsibilities of the position and is not exhaustive. Additional functions and requirements may be assigned by supervisors as appropriate.