Dental Billing Specialist

Position Overview:

We are seeking a skilled and detail-oriented Dental Billing Specialist with experience in US healthcare to join our team. The ideal candidate will be responsible for managing all aspects of dental billing, including claim submissions, insurance follow-ups, payment posting, and addressing patient billing inquiries. This role requires a solid understanding of dental insurance policies, coding, and regulatory compliance. The Dental Billing Specialist will ensure accurate and timely billing practices to maximize reimbursement and minimize delays.

Key Responsibilities:

• Billing & Coding:
• Accurately prepare and submit dental claims to insurance companies, including both primary and secondary claims.
• Ensure that claims are submitted with the appropriate coding (CPT, ICD-10, ADA codes) and in compliance with insurance policies and healthcare regulations.
• Perform detailed insurance verification to confirm patient benefits and eligibility.
• Work with dental providers to clarify any issues related to billing, documentation, or coding.
• Payment Posting:
• Post insurance and patient payments, including the allocation of payments to the correct accounts and codes.
• Reconcile discrepancies in payments or denials, ensuring accurate account balances and patient statements.
• Insurance Follow-up & Appeals:
• Review, investigate, and resolve claim denials or underpayments, including resubmitting claims and appealing insurance decisions when necessary.
• Coordinate with insurance providers to resolve issues and ensure timely payments.
• Patient Interaction:
• Address and resolve patient inquiries regarding billing, payments, and insurance coverage.
• Provide clear and concise explanations of charges, coverage, and financial responsibilities.
• Assist with establishing payment plans when necessary.
• Reporting & Compliance:
• Generate and maintain reports on billing activities, denials, payments, and outstanding claims.
• Ensure compliance with HIPAA, insurance regulations, and other federal or state-specific guidelines.
• Collaboration:
• Work closely with the dental office team (front office, clinical staff, management) to ensure smooth billing and collections processes.
• Communicate effectively with external insurance providers to resolve any issues impacting billing or payments.

Requirements

Qualifications:

• Experience:
• Minimum of 2-3 years of dental billing experience within the US healthcare system, preferably in a dental office or dental practice.
• Familiarity with dental insurance plans, dental coding (ADA, CPT, ICD-10), and payment posting.
• Experience with electronic health record (EHR) systems and dental billing software (e.g., Dentrix, Eaglesoft, Open Dental, etc.) is highly regarded.
• Knowledge:
• Strong understanding of dental insurance processes, claims submission, and denial management.
• In-depth knowledge of HIPAA compliance, medical billing, and coding standards.
• Familiar with various insurance companies and government payer programs (Medicaid, Medicare).
• Skills:
• Excellent attention to detail and strong organizational skills.
• Ability to manage multiple tasks and meet deadlines in a fast-paced environment.
• Strong communication skills, both written and verbal, to interact effectively with patients, insurance companies, and team members.
• Ability to work independently and as part of a team.

Benefits

• Competitive hourly rate.

• As an independent contractor, enjoy competitive market rates.
• MedVA in-house medical benefits (after 6 months of tenure).
• We care about your well-being—both financial and physical.
• Ongoing training at no cost, with top-tier learning resources from industry experts.
• Permanent work-from-home setup, allowing you to earn from the comfort of your home and avoid stressful commutes while reducing your exposure to illness.

If you're ready to make a difference in the dental industry while enjoying the flexibility of remote work, we’d love to have you on our team!