Dental Billing Specialist

Job DetailsJob Location: 4913 - Oklahoma City, OK 73127Position Type: Full TimeTravel Percentage: NoneJob Shift: DayOklahoma City Indian Clinic (OKCIC) is a non-profit corporation that provides culturally sensitive health care to the American Indian population. OKCIC services include not only basic medical care but also dental, optometry, behavioral health, fitness, nutrition, and other family programs. Our mission is to provide excellent healthcare to American Indians. We do this by putting people first, providing quality services, and maintaining our Integrity and Professionalism. We are looking to add compassionate team players to our growing team as we continue to work toward our goal of becoming the national model for American Indian Health Care. The Dental Claims Processor is responsible for adjudicating and paying all dental claims, ensuring accuracy and compliance with HIPAA regulations. This role supports the Dental Department by submitting claims, correcting errors, investigating questionable claims, and maintaining compliance with billing and coding standards. Applicants claiming Indian Preference must complete the full application and must provide documentation verifying eligibility (such as a tribal enrollment card or Certificate of Degree of Indian Blood (CDIB)). Job duties include, but are not limited to: Submit HIPAA compliant claim batches to Medicare, Medicaid, and commercial insurers; Follow-up on Invalid claims in EDS. Utilize the invalid report in EDS to make corrections to claims. Investigates questionable claims and services with certified coders—answers phone calls regarding claims questions as needed.  Create and process claims in the Dentrix and EDS. Create claims to meet the timely filing codes. Submit and follow up on HIPAA Compliance Claims. Participates in any/all training and educational activities necessary to fulfill the minimum requirements specified in the interdepartmental goals. Research training opportunities pertinent to the dental billing office to remain current with billing practices and coding changes; submits suggested training ideas to the Dental Director for approval. Thoroughly reviews claims to ensure that there is no missing or incomplete information. The Oklahoma City Indian Clinic is a non-profit organization and not a federal employer. Indian preference hiring laws apply. The Clinic is a 501(c)(3) non-profit corporation and an Equal Employment Opportunity (EEO) employer. The Clinic adheres to all applicable laws prohibiting discrimination in employment, including protections based on race, color, sex, national origin, age, disability, religion, veteran status, and other characteristics as required by federal, state, or local law. Qualifications Must align with OKCIC vision, mission, and core values. High school diploma or GED. Two (2) years’ experience in Dental billing. Knowledge of Medicare, Medicaid, commercial dental insurance plans, and ICD-10, CPT, and CDT codes. Ability to use claims clearinghouse software, EDS.