RESPONSIBILITIES

• Generate, scrub, and submit accurate dental insurance claims (electronic and paper).
• Review and correct errors, rejections, and edits preventing claims from processing.
• Follow up on unpaid, underpaid, or denied claims to ensure prompt reimbursement.
• Review undistributed insurance and patient payments for possible overpayments or incorrect postings.
• Verify dental insurance benefits and pre-authorizations when needed.
• Work aging reports/work queues and follow up with insurance companies on overdue accounts.
• Communicate with patients regarding outstanding balances and arrange payment plans when necessary.
• Identify billing discrepancies and submit appeals for denied claims.
• Maintain detailed documentation of all billing and collection activities.
• Collaborate with front office and clinical teams to ensure billing accuracy.
• Stay current with CDT coding, insurance changes, and HIPAA compliance requirements.

QUALIFICATIONS

• High school diploma or equivalent (associate or bachelor’s degree preferred).
• 2+ years of experience in dental billing or dental AR collections.
• Strong understanding of dental insurance plans (PPO, HMO, Medicaid, Fee-for-Service).
• Proficiency with dental billing or practice management systems (experience with eCW, EPIC, AxiUm, or Dentrix is a plus).
• Knowledge of CDT (Current Dental Terminology) codes and ability to read EOB/ERA reports.
• Experience with electronic dental claims submission, clearinghouse edits, and denials.
• Strong communication, problem-solving, and time management skills.
• Ability to work independently and manage multiple priorities.
• Eligible candidates are US based and do not require sponsorship.