Dental Billing Specialist I

Family First Health is seeking aDental Billing Specialistfor our aonsite position in ourDowntown York, PA office. Candidates should have a working knowledge of dental terminology and be computer proficient or have the ability to learn.  As a Dental Billing Specialist at Family First Health, candidates will be responsible for assisting Dental Billing with the creation of claims for all 5 Dental sites with additional responsibilities as listed below.

This position is more than just a job, it’s an opportunity to learn and grow with a terrific team. We’re dedicated to offering trustworthy services and care. The Dental Billing Specialist position will play a large role in that. If this sounds a like a good fit, we would love to hear from you. 

 ESSENTIAL DUTIES AND RESPONSIBILITIES

• Participates in billing and collections of claims to both insurance companies and patients in order to achieve optimal accounts in a timely manner.
• Ensures insurance verifications are completed prior to scheduled office visits except when front desk adds in an appointment after they have received the verified schedule.
• Ensures charges, payments and adjustments are accurately posted to the billing system by front desk staff.
• Submits dental claims daily for completed encounters.
• Enters payments received into the billing system using the appropriate discounts and contractual allowances to patient accounts.
• Works denials from insurance companies to determine how the claim should be edited to obtain payment.
• Participates in training of new employees on dental billing functions at all Family First Health locations.
• Analyzes accounts receivable reports from the billing system to identify aging account balances.
• Understands and communicates the Sliding Fee Policy and procedure to staff and patients as needed.
• Sends letters or directly contacts patients and insurance carriers to resolve aging account balances.
• Processes patient and insurance refunds in a timely manner.
• Informs and assists patients in obtaining Care Credit.
• Meets with patients in person or over the telephone as requested to provide assistance with billing questions.
• Assists patients by delivering excellent customer service while ensuring problem resolution.
• Documents patient complaints and incidents as required.      
• Attends and actively participates in departmental/organizational meetings as required.
• Complies with HIPAA rules and regulations.
• Assists with sorting through Dental Mail to direct Prior Authorization responses to appropriate offices, address Insurance denials, and other remittances.
• Performs other duties as assigned.

KNOWLEDGE/SKILLS/ABILITIES

• High School Diploma or GED. 
• 1-2 years’ prior work experience in a dental office with Billing/Coding experience or completion of a Billing/Coding Class
• Knowledge of computer software applications (Microsoft Office Applications including Excel, others).

• Knowledge of grammar, spelling, and punctuation as it relates to correspondence necessary to perform essential job functions.
• Knowledge of basic arithmetic to make calculations, balance and reconcile figures, and make changes accurately.
• Excellent customer service and employee relations skills
• Skill in working in a team environment
• Skill in administrating and managing data.
• Skill in operating office equipment.
• Proficient keyboarding skills
• Ability to critically think which means the ability to think clearly and rationally about what to do or what to believe; understand logical connections between ideas; and identify, construct, and evaluate arguments
• Ability to work independently by making decisions regarding daily work and seeking direction from the Billing Supervisor of Dental services when needed.

• Ability to raise issues proactively and in a timely manner.
• Ability to maintain the confidentiality of employee and client information.
• Ability to work in, and respond to a demanding work environment.
• Ability to communicate well and in a caring and supportive manner with individuals of all backgrounds.
• Ability to work efficiently and accurately with strong attention to detail.
• Ability to adhere to and meet deadlines.
• Ability to sort and file materials correctly by alphabetic or numeric systems.
• Ability to establish and maintain effective working relationships with patients, employees, and the public.
• Ability to be organized, proactive in follow-up and follow-through, and to juggle multiple competing tasks.
• Ability to adhere to all Family First Health’s policies, processes, and procedures, especially, Code of Conduct, Workplace Conduct, and the Remote/Telework Policy if indicated eligible to work remotely or telework.
• Ability to articulate and advocate Family First Health’s mission and values
• Ability to maintain required clearances

PHYSICAL DEMANDS

Mental/Physical Requirements:Must possess the physical and mental abilities to perform the tasks normally associated with a Dental Billing Specialist position such as:

• Frequent and prolonged work at a computer and/or on the phone for extended periods with repetitive typing, arm and hand motion.
• Requires correct vision and hearing to normal range.
• Requires ability to speak clearly in order for others to understand.
• Occasional bending, stooping, crouching, or kneeling.
• Occasional to moderate standing and walking within office environment.
• Frequent walking to and from buildings to employee parking with exposure to weather conditions,
• Occasional lifting and carrying of supplies and equipment.
• Frequent turning and reaching while sitting or standing.
• Occasional travel between work sites with exposure to weather conditions.
• Frequent competing demands, frequent changes, delays, or unexpected events.
• Normal working conditions are in an office environment.
• When teleworking or working remotely, requires working alone in a qualified work setting

Employee Benefits 

• 3 Weeks of Accrued Paid Vacation per year 
• 9 Days of Accrued Paid Sick Leave Time per year 
• 4 Personal Days per year 
• No Late Evenings or Weekend Hours 
• Paid Time Off on Holidays 
• Health, Dental, & Vision Insurance Plans 
• Short/Long Term Disability and Life Insurance 
• 403(b) Retirement Plan 
• Tuition Reimbursement Opportunities 
• Attention to work-life balance 
• Opportunity for growth and advancement 
• And More!