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Description
Basic Function: To accurately collect and input billing data into the computer system
Principal Accountabilities:
- Enter patient charges into the practice management system
- Ensure patient and insurance information accurately into the practice management system
- Verify and obtain insurance eligibilities for all patient visits
- Verify billing charges with the chart note to make sure all charges match the coding guidelines and all procedures are billed correctly
- Communicate questions in a task to providers regarding documentation and/or billing charges
- Print and work Open Encounter Report daily
- Work Credit Balance report and Aging reports
- Be able to provide estimates, predeterminations and/or outreach
- Complete and send out Medicaid threshold forms
- Must be able to use the CPT and/or CDT coding book
- Act as a backup for the Dental Billing or Billing Representative-payment poster
- Reconcile and close receipts and charges to daily journal, computer generated reports to ensure accuracy
- Assist in the training of Dental or Billing staff
- Assist management in compiling necessary information for audits, both internal and those required by outside entities.
- Other duties and responsibilities as may be requested by supervisor and/or management
- Cross training for posting explanation of benefits
- Post daily Time of Service, collection, slide, daily logs and/or incoming payments
- Contact insurance companies to follow up on delinquent claims
- Follow up on denied claims by sending claim status requests to appropriate insurance companies
- Process claims for service via websites of insurance companies.
*This position has the option to be hybrid, once training is completed.
Requirements
- High school graduate or GED
- Must have the ability to maintain the knowledge of coding guidelines
- Verbal and written communication skills, office applications preferred
- Demonstrate proper judgment and decision making skills
- Comply with the organizations code of conduct, safety rules and adheres to all company policies
- Must be willing to and demonstrate the ability to cooperate, work, and communicate with coworkers, supervisors, and visitors to our facility in an ethical, effective and professional manner
- Must demonstrate computer proficiency with Microsoft Suite and the practice management system
- Must possess the ability to display compassion and work well in stressful situations
- Must be keenly aware of the importance of confidentiality in all aspects of the position
- Upgrade to a higher level from Billing Rep. to Specialist to Senior would depend on length of employment, current work performance, how many insurances one is taking on and accuracy in completing in a timely fashion
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