DENTAL BILLING SPECIALIST

We are seeking a DENTAL BILLING SPECIALIST to become a part of our team! You will be responsible for managing the revenue cycle, insurance claims, and patient billing inquiries for our dental services, ensuring accurate and efficient financial processing within our fully digital practice.

Responsibilities

Responsibilities of a Dental Billing Specialist will include, but are not limited to the following:

• Manage the full dental billing cycle, including claim creation, submission, payment posting, and denial management.
• Verify patient dental insurance eligibility, benefits, and coverage limitations prior to appointments.
• Accurately translate dental treatments into current CDT codes and process claims in compliance with current dental billing standards.
• Perform essential work exclusively within the eClinicalWorks Electronic Health Record (EHR) system with a high degree of accuracy and completeness.
• Follow up promptly on unpaid claims, file structured appeals for denied dental claims, and resolve complex billing discrepancies with insurance carriers.
• Generate and distribute patient statements, serving as the primary point of contact for patient inquiries regarding out-of-pocket costs and account balances.
• Perform daily payment reconciliations and month-end reporting tasks as directed by the revenue cycle management team.
• Knowledgeable of HIPAA regulations, protecting patient financial and medical information at all times.
• Communicate in a culturally competent and effective manner to clients/caregivers regarding their financial responsibilities and available payment options.

Qualifications

• Dental billing and coding experience - one year minimum required.
• Demonstrated proficiency navigating and entering data within Electronic Health Record (EHR) systems; prior experience with eClinicalWorks is highly preferred. (Note: Candidates must be comfortable in a 100% digital, paperless environment).
• Strong foundational knowledge of current CDT coding, dental terminology, and insurance claim forms (e.g., ADA claim forms, clearinghouse portals).
• Experience handling commercial PPO, Medicaid, and Medicare dental claims.
• Good keyboard skills - 35 wpm.
• Ability to work with frequent interruptions and maintain emotional control under stress.
• Detail-oriented and highly organized.
• Great interpersonal and communication skills.
• Bilingual (Spanish/English) a plus.

Working Conditions The position occasionally requires sitting, standing and bending. Occasional very light lifting, up to 20 pounds or an equivalent weight may be required. Must be willing to travel to Northwest and Greenspoint Health Centers.

Employment Benefits 4 Day Work Week (Monday-Thursday); 2 Saturday (8a-12n) rotations per quarter Competitive Pay, Paid Time Off Plan, Comprehensive Medical/Dental/Vision, Life Insurance, 401k (6% Match), Paid Federal Holidays

EEO Statement: St. Hope Healthcare is an equal opportunity employer and will not discriminate against any employee or applicant on the basis of age, color, disability, gender, national origin, race, religion, sexual orientation, veteran status, or any classification protected by federal, state, or local law.