Job Description
Job Description
HMC Dental Services Inc. is seeking a highly experienced and detail-oriented Dental Billing Specialist to join our elite, technology-driven dental practice. The ideal candidate will have a strong background in dental billing, ADA coding, insurance verification, and account reconciliation. This role is pivotal to maintaining an efficient revenue cycle and providing an outstanding patient experience through accurate and transparent billing practices.
Key ResponsibilitiesInsurance Claims Management
- Prepare and submit dental claims accurately and timely (electronic and manual).
- Verify dental insurance eligibility and benefits (PPO & Medicare Advantage).
- Attach necessary documentation (e.g., x-rays, perio charting, narratives) through platforms,
- Follow up on unpaid, denied, or underpaid claims to ensure maximum reimbursement.
- File appeals and corrections for denied claims, including submission of supplemental information.
- Submit pre-authorizations and predeterminations as required.
Patient Account Management
- Post insurance and patient payments (EFT, checks, and patient payments).
- Reconcile and manage accounts receivable, ensuring accurate and timely follow-up.
- Generate and send monthly patient statements, particularly for balances following insurance denials.
- Respond to billing inquiries and resolve patient account issues professionally and promptly.
- Assign overdue balances to collections when necessary, following internal protocols.
Billing Accuracy & Compliance
- Ensure accurate use of ADA procedure codes.
- Identify and correct account errors, such as inaccurate demographics or insurance setup.
- Stay current with dental insurance billing policies and coding updates.
- Maintain compliance with federal, state, and payer-specific regulations.
Reporting & Collaboration
- Prepare daily, weekly, and monthly billing and production reports.
- Collaborate with front desk, dental assistants, and providers to ensure accurate documentation and timely billing.
- Support credentialing and re-credentialing processes for providers as needed.
- Assist Financial Coordinator with cost estimates and patient financial responsibility reviews.
- Maintain the cleanliness and confidentiality of all billing-related documentation.
Qualifications & Skills
- Minimum 2 years of dental billing experience required.
- Strong knowledge of ADA coding, PPO and Medicare Advantage plans.
- Experience with dental software Open Dental.
- High attention to detail and ability to multitask in a fast-paced environment.
- Excellent communication, organizational, and analytical skills.
- Strong customer service orientation with a problem-solving mindset.
- Must work on-site; remote work is not available for this position.
- Bilingual in English and Spanish is a plus.
- Knowledge of HIPAA and dental billing compliance standards
You will be eligible for a generous benefits package that includes:
• Paid time off (PTO)
• Paid Holidays
• 401K
• Voluntary Life Insurance
• Employee Assistance Program (EAP)
• Medical, Dental and Vision Benefits