Apply on Employer Site

Smile Brands Inc. · 20 hours ago

Dental Biller

Cedar Park, TX

Full-time

Onsite

Mid Level

$24/hr - $26/hr

4+ years exp

Smile Brands Inc. is a community-focused dental support organization with over 650 practices across 30 states. They are seeking a Dental Biller to manage the financial aspects of a dental office, ensuring accurate billing and payment processing while working closely with patients and insurance companies.

DentalHealth CareHospital

Growth Opportunities

Responsibilities

Insurance Verification: Verify patients' insurance coverage and eligibility prior to appointments. Ensure accurate information is obtained and recorded in the billing system

Billing and Coding: Assign appropriate billing codes to dental procedures performed using the standardized coding system (e.g., CDT codes). Ensure adherence to coding guidelines to prevent errors and maximize reimbursement

Claims Submission: Prepare and submit insurance claims electronically or through paper submission. Monitor claim status and follow up on any rejections or denials. Make necessary corrections and resubmit claims promptly

Payment Processin: Receive and process payments from patients and insurance companies, including posting insurance checks, accurately applying payments to patient accounts, and clearing insurance A/R balances. Reconcile discrepancies as needed

Patient Billing: Generate and send out patient statements for outstanding balances. Assist patients with understanding their bills, explaining insurance coverage, and setting up payment plans if necessary

Appeals and Denials Management: Handle insurance claim denials and appeals. Investigate reasons for denials, gather supporting documentation, and resubmit claims with additional information as needed

Record Maintenance: Maintain organized and up-to-date billing records, including patient demographics, insurance information, and billing history. Ensure confidentiality and compliance with HIPAA regulations

Communication: Liaise with patients, insurance companies, and other healthcare providers to resolve billing inquiries and disputes promptly. Provide excellent customer service and address concerns professionally

Revenue Cycle Management: Assist in optimizing the revenue cycle by identifying opportunities for process improvements, reducing claim rejections, and accelerating payment collection

Qualification

Dental billing experienceEagleSoft softwareInsurance policies knowledgeHIPAA regulations knowledgeAnalytical skillsCommunication skillsProblem-solving skillsTime management