Dental Billing Specialist

Job Summary
In this role, you will be responsible for handling various aspects of dental insurance-related tasks. Your duties will include verifying insurance eligibility, processing treatment plans, coordinating payments, maintaining thorough records, and performing other administrative tasks. You will collaborate closely with our Front Office and Administrative practice staff and contracted RCM staff to ensure smooth operations and accurate financial transactions. The ideal candidate will embody our organization's vision and our policies and procedures and demonstrate our core values.

Why Juniper Services?

At Juniper Services, we take pride in providing exceptional dental care to our patients, and we are committed to maintaining the highest standards of quality and patient satisfaction. We believe in creating a supportive and collaborative work environment where every team member has the opportunity to thrive and grow in their career.

We offer the following benefits the first of the month after 60 days of employment:

• Multiple medical plan options with a generous company contribution towards premiums
• Dental and orthodontic plans with no employee premium
• Vision coverage
• Life insurance
• Company-sponsored life insurance
• Short and long-term disability insurance
• Short-Term Incentive Plans
• 401(k) with up to 4% company match with immediate vesting
• Paid Time Off and Paid Holidays
• Cutting edge training in the Dental field
• Career growth and professional development

Duties
Assists and prepares insurance claims to be submitted using a claims clearinghouse, insurance portals or paper claim submission. This will also include assisting with insurance claims appeals an updating patient claims notes documenting discussions with insurance claim representatives.

· Assists preparing daily insurance check deposits, maintaining bank deposit and provider signature stamps, submitting updated W-9 form to insurance carriers, updating Master Carrier Portal Login Sheet for individual practices, adjudicating Membership Applications and Employee Dental Benefit Plan claims.

· Monitors daily batching of claims, resolving rejected claims for clearinghouse claim edits, claims On Hold, Denied claims, and pended claims for submission. Assists with gathering documents for preparing claims for appeal with insurance carriers.

· Audits daily reports for payment posting, initial claims submission and provides corrective feedback to contracted RCM vendor. This includes auditing the insurance verification long form, simple eligibility form and ensure insurance verification data is 100% accurately transferred to Carestack.

· Audits weekly Claims Status report from RCM contractor to ensure the contractor is performing the correct actions needed to resolve a denied claim.

Daily insurance check batch deposit preparation, separating zero pays from all payments and uploading zero and payment batches for outsourced RCM contractor to post in Carestack.

· Researches and audits questions pertaining to insurance billing, patient ledger and insurance companies.

· Identifies and resolves patient billing complaints and directs information back to the Insurance Billing Supervisor to communicate with the practice manager or site staff.

· Audits ledger and correctly applies unapplied patient credits to oldest balances as well as assist with patient refunds.

· Reports any changes in reimbursement to contractual fee schedules or changes in network status on adjudicated claims to the Insurance Billing Manager and Director of RCM Services.

· Reviews accounts for possible assignment to collection and makes recommendations to Patient Billing Supervisor.

· Under the direction of the Insurance Billing Manager, assists Patient Billing Supervisor from time to time with patient A/R and unapplied patient credit balance clean up projects. This also includes assisting with document preparation for pre-collection patient accounts.

· Adheres to all HIPAA guidelines/regulations.

· Performs other related duties as assigned.

Experience
Knowledge of dental and insurance terminology

· 2-3 years medical and or dental billing experience

· Able to do the same task on a daily basis

· Strong mathematical skills

· Good communication skills

· Highly organized and self-motivated

· Proficient in Microsoft Word, Excel, and Carestack dental software

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Work Location: In person