Dental Billing Specialist

Smilebuilderz is a well-established private multi-specialty dental practice located in Lancaster County, PA. We are looking for a billing specialist to join our team. This position involves verifying insurance coverage for proposed dental treatments, preparing, and submitting predetermination requests, and communicating with patients to provide estimates of insurance benefits.

Job Responsibilities:

1. Verify patients’ insurance coverage and eligibility for proposed dental treatments before submitting claims.

2. Accurately create, batch, and send dental claims to insurance companies within 72 hours of the patient's date of service.

3. Input accurate dental coding of procedures, with correct documentation, images and notes attached with the insurance claims.

4. Assist with monitoring predetermination requests to insurance companies.

5. Monitor the status of claims and follow up with insurance companies to ensure timely responses.

6. Address claim issues with insurance companies within a timely manner.

7. Monitor and address interoffice requests and discrepancies for the Sending team.

8. Maintain accurate records of claims requests, responses, and patient communications. Ensure documentation is organized and readily accessible.

9. Assist in the appeals process if claims are denied or if there are discrepancies.

10. Stay informed about insurance regulations and ensure that the practice complies with insurance guidelines in the claims process.