Billing/Claims Specialist Job at Simply Dental Management Inc
Simply Dental Management is seeking a full-time Billing/Claims Specialist to join our growing team in Hopkinton, MA. We are searching for a strong individual to work on claims and billing to support the teams at our offices. Collaboration, ability to adapt to change and strong multitasking skills are a MUST! Willingness to learn and grow - one of our Core Values will make you a great match for this role!
Responsibilities Include:
- Follow up on claims payments.
- Review patients accounts to ensure accuracy on insurance and billing.
- Verifies proper CDT coding is entered in the practice management system based on the services being performed by the General Dentist or Specialist
- Review various internal reports that contain claims and insurance information.
- Researches and identifies any special circumstance affecting delayed payment on accounts to include appeals of denied claims.
- Assists patients in setting up payment plans and completes payment plan contacts.
- Use various on and offline methods to trace outstanding claims payments.
- Remains current on Federal and State regulations and statuses that influence collections of receivables.
- Must communicate & follow up effectively with treatment coordinating or office manager regarding patient accounts.
- Posting Insurance EOB's/EFT's
- Perform other assigned tasks and duties necessary to support the billing department.
- Oversee the training and support of staff.
- Efficiently managing patient complaints in respect of billing and collections.
- Planning and structuring the department workflow and staffing.
- Monitor the revenue for opportunities to improve.
- Monitor monthly KPIs to monitor all phases of the billing cycle
- Oversee 3rd party companies to ensure accuracy of payments and information.
- Manage daily deposits to the bank and ensure accuracy in end of day reconciling for the billing department.
Benefits:
- Paid Holidays
- 2 weeks vacation
- 401(k) matching
- Dental Discounts
- Employee discounts
- Health insurance
- Paid sick time off
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