Billing Rep

Billing SpecialistBasic Function: To accurately collect and input billing data into the computer systemPrincipal Accountabilities:Enter patient charges into the practice management systemEnsure patient and insurance information accurately into the practice management systemVerify and obtain insurance eligibilities for all patient visitsVerify billing charges with the chart note to make sure all charges match the coding guidelines and all procedures are billed correctlyCommunicate questions in a task to providers regarding documentation and/or billing chargesPrint and work Open Encounter Report dailyWork Credit Balance report and Aging reportsBe able to provide estimates, predeterminations and/or outreachComplete and send out Medicaid threshold formsMust be able to use the CPT and/or CDT coding bookAct as a backup for the Dental Billing or Billing Representative-payment posterReconcile and close receipts and charges to daily journal, computer generated reports to ensure accuracyAssist in the training of Dental or Billing staffAssist management in compiling necessary information for audits, both internal and those required by outside entities.Other duties and responsibilities as may be requested by supervisor and/or managementCross training for posting explanation of benefitsPost daily Time of Service, collection, slide, daily logs and/or incoming paymentsContact insurance companies to follow up on delinquent claimsFollow up on denied claims by sending claim status requests to appropriate insurance companiesProcess claims for service via websites of insurance companies.*This position has the option to be hybrid, once training is completed.Requirements:High school graduate or GEDMust have the ability to maintain the knowledge of coding guidelinesVerbal and written communication skills, office applications preferredDemonstrate proper judgment and decision making skillsComply with the organizations code of conduct, safety rules and adheres to all company policiesMust be willing to and demonstrate the ability to cooperate, work, and communicate with coworkers, supervisors, and visitors to our facility in an ethical, effective and professional mannerMust demonstrate computer proficiency with Microsoft Suite and the practice management systemMust possess the ability to display compassion and work well in stressful situationsMust be keenly aware of the importance of confidentiality in all aspects of the positionUpgrade to a higher level from Billing Rep. to Specialist to Senior would depend on length of employment, current work performance, how many insurances one is taking on and accuracy in completing in a timely fashion