Dental Billing Clerk

Purpose: The Dental Billing Clerk is responsible for collecting, posting and managing account payments. Dental Billers are responsible for activities including submitting claims and following up with insurance companies and a variety of tasks that are assigned.

PART I: ESSENTIAL POSITION FUNCTION AND DUTIES

1. Prepares and submits clean claims to various insurance companies either electronically or by paper if needed.

2. Answers questions from patients, clerical staff and insurance companies.

3. Identifies and resolves patient billing complaints.

4. Prepares, reviews and sends patient statements

5. Evaluates patient’s financial status and establishes budget payment plans.

6. Review and reports status of delinquent accounts.

7. Responsible for maintaining a current knowledge of coding and dental procedures as well as being current regarding legislative changes related to dental billing.

8. Corrects all rejected billings and resubmit.

9. Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.

10. Processes payments from insurance companies.

11. Maintains account receivables aging analysis

12. Conducts self in accordance with WWFHC employee manual.

13. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations

14. Identify and perform tasks within Dentrix.

15. Performs other functions as determined by the Billing Manager.

PART II: CLINIC WIDE RESPONSIBILITIES

1. Customer Relations:

a. Treats guests, patients, physicians, and other employees with care, courtesy, and respect.

b. Responds quickly and appropriately to customer request.

c. Looks for and suggests ways to better meet customer needs.

d. Answers clinic communications systems promptly and with courtesy and respect.

2. Teamwork:

a. Works cooperatively within own department and other areas.

b. Willingly accepts additional responsibility – tries to make others job easier.

c. Responds quickly to request for assistance.

d. Required to work closely with patients and associates.

e. Interacts with other departments on problem issues.

f. Accepts feedback from patients, visitors, clinic employees, physicians and general public.

3. Continuous Improvement:

a. Continuously looks for and suggests ways to improve.

b. Effectively completes assignment to achieve the greatest benefits at acceptable cost.

c. Implements improvements as appropriate.

d. Demonstrates interest in own growth and development by:

(1) Periodically evaluating own performance.

(2) Demonstrating an awareness of personal abilities and limitations.

(3) Independently seeking means to make improvements.

(4) Attends and participates in in-services and continuing education programs

(5) Attends departmental meetings.

4. Communications:

a. Keeps appropriate people informed.

b. Speaks and writes clearly, concisely, and appropriately for need.

c. Listens carefully.

d. Communicates tactfully.

e. Understands that all confidentiality and privacy considerations are respected and fostered at work and off duty.

5. Self –Management:

a. Presents a positive image of Western Wayne Family Health Center at all times.

b. Carries out assignments with little need for direction.

c. Timeliness.

d. Maintains confidentiality.

e. Provides proper notification of absence and tardiness.

f. Works weekends and shifts when necessary.

Qualifications

Education: Associates Degree in business or health related field

2. Experience: Three (3) years of experience in a dental billing office with primary focus on insurance billing and coding practices. Three (3) years of medical coding experience.

PART IV: KNOWLEDGE, SKILLS AND ABILITIES

1. Proficiency using Dentrix and Microsoft Office

2. Knowledge of basic billing, coding and account management techniques

3. Skilled with working in a complex work environment

4. Ability to maintain confidentiality at all times and maintain organizationally appropriate relationships

5. Knowledge of organization policies and procedures.

6. Knowledge of computer, systems, and medical billing applications.

7. Skilled in exercising initiative, appropriate judgment, problem-solving and decision making.

8. Skilled in developing and maintaining effective relationships with internal and external customers