Dental Insurance Biller and Verification Specialist

Job Summary

We are looking for a detail-oriented Insurance Biller and Verification Specialist with experience in Open Dental. The ideal candidate will handle insurance billing, verification, and claim management with accuracy and efficiency. This role requires a deep understanding of CDT codes, dental insurance policies, and proficiency in using Open Dental software to manage patient records and claims.

Key Responsibilities

1. Insurance Billing and Claims Management
• Utilize Open Dental software to prepare, submit, and monitor dental insurance claims.
• Ensure timely follow-up on unpaid or denied claims, including resubmissions and appeals.
• Accurately post insurance payments, write-offs, and adjustments to patient accounts.
• Generate monthly reports on claim status and accounts receivable.

2. Insurance Verification
• Verify patient insurance coverage, including eligibility, benefits, deductibles, and frequency limitations.
• Update Open Dental records with verified insurance details and benefit breakdowns.
• Communicate insurance changes or restrictions to patients and team members.

3. Patient Account Management
• Educate patients on their insurance coverage and financial responsibilities.
• Prepare and distribute patient statements and manage payment plans in Open Dental.
• Address patient inquiries regarding claims, balances, and payment processes.

4. Compliance and Reporting
• Ensure all claims are coded correctly using CDT codes and adhere to HIPAA regulations.
• Maintain accurate documentation of insurance verification, claims, and payments.
• Provide regular updates to the team on claim statuses and insurance policy changes.

5. Collaboration and Training
• Work closely with the front office team to streamline insurance-related processes.
• Assist in training team members on Open Dental software and insurance protocols.

Qualifications
• Experience: Minimum of 2 years in dental insurance billing and verification, with experience using Open Dental software.
• Knowledge: Strong understanding of CDT codes, dental insurance plans, and claim processes.
• Skills:
• Proficient in Open Dental software.
• Excellent communication and organizational skills.
• Ability to manage multiple tasks and deadlines with high attention to detail.
• Problem-solving skills to resolve claim issues effectively.
• Compliance: Understanding of HIPAA and other regulatory requirements.

Benefits
• Competitive salary based on experience.
• Health insurance and retirement benefits.

Job Type: Full-time

Pay: $18.85 - $25.00 per hour

Expected hours: 40 per week

Benefits:
• Health insurance

Schedule:
• 8 hour shift

Work Location: In person

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