RCM Dental Insurance Biller

Job Summary:

The Billing Specialist is responsible for managing all aspects of patient billing and insurance claims processing within the dental practice. This role ensures accurate financial operations, timely reimbursements, and a seamless billing experience for patients. The ideal candidate will have strong attention to detail, excellent organizational skills, and experience in dental billing or healthcare finance.

Key Responsibilities:

• Prepare, submit, and track insurance claims accurately and promptly.
• Verify patient insurance benefits and eligibility.
• Follow up on unpaid or denied claims to ensure timely resolution.
• Communicate with insurance companies to address discrepancies or errors.
• Generate and send patient statements for outstanding balances.
• Process patient payments and maintain accurate records.
• Address patient billing inquiries and provide clear explanations of charges and account balances.
• Set up and manage payment plans as needed.
• Reconcile daily financial transactions, including payments, refunds, and adjustments.
• Maintain accurate and organized financial records in compliance with office protocols.
• Assist in month-end and year-end financial reporting.
• Ensure billing practices comply with HIPAA regulations and other relevant standards.
• Stay updated on changes to dental insurance policies and coding requirements.
• Maintain and update patient billing and insurance documentation in the practice management software.
• Work closely with front office staff to ensure accurate patient information is collected.
• Collaborate with clinical staff to clarify coding and treatment details when needed.
• Provide training and support to team members on billing processes and software.

RCM Specialist Job Requirements

• High school diploma or equivalent (Associate degree or higher in a related field preferred).
• Minimum of 2 years of experience in dental billing or a related healthcare billing role.
• Proficiency in dental Dentrix practice management software
• Knowledge of CDT codes, insurance billing practices, and dental terminology.
• Strong analytical and problem-solving skills.
• Excellent communication and interpersonal skills.
• Ability to multitask and prioritize in a fast-paced environment.
• Commitment to confidentiality and compliance with HIPAA regulations.