What are the responsibilities and job description for the Billing & Collections Specialist - Dental position at Aria Community Health Center?
Job Details
Description
ACHC is a Federally Qualified Health Center and licensed primary care clinic. We provide Family Medicine and Dental Care, with additional specialists in Behavioral Health, Chiropractic, Internal Medicine, Neurology, Obstetrics and Gynecology, Pediatrics, Podiatry and Optometry. ACHC Clinics are located across Fresno, Kings and Tulare counties.
SUMMARY
Under the supervision of the Billing Supervisor, the Billing & Collections Specialist – Dental is responsible for handling the billing and insurance processing tasks of an FQHC dental office This includes auditing charges, preparing and submitting claims, managing patient accounts, and ensuring that the practice receives timely and accurate payments for services rendered.
DUTIES and RESPONSIBILITES
- Coordinate with dental office staff to ensure accurate patient information and treatment codes
- Ensure accuracy and completeness of claim forms, attaching necessary documentation as required.
- Prepare and submit dental claims to insurance companies electronically or via paper.
- Generate and distribute patient statements and invoices.
- Bills and audits dental charges from multiple dental offices.
- Generate refund requests when appropriate.
- Provide feedback to staff involved in the preparation of records and superbills for improvement in accuracy of all such records.
- Ensure compliance with relevant regulations and policies, including HIPAA and insurance company guidelines.
- Analyze billing data to identify trends, issues, and opportunities for improvement.
- Maintain accurate and organized records of all billing activities, claims, and communications.
- Perform special data collection projects and other assignments.
- Generate reports on billing activities and claim status for management review.
- Maintain accurate detail of patients’ accounts.
- Coordinate with dental site on treatment authorizations for insurance.
- Work in NextGen EMR, EDR, and PM systems.
- Keep Billing staff and other staff informed as needed.
- Respect and protect information regarding patients and other team members and abide by the rules of the Confidentiality Protocol.
- Other duties as assigned by supervisor. Duties and responsibilities may be added, deleted, or changed at any time at the discretion of management, formally or informally either verbally or in writing.
EXPECTATIONS:
- Responsible for revenue generation and controlling patient accounts receivable in the dental department
- Supports and motivates patients to comply with payment expectations
- Maintains open communication with supervisor and staff
- Collects and records data accurately
- Works flexible or extended hours where necessary
- Abides by Rules of Confidentiality
- Demonstrates awareness and compliance of the corporate and organizational mission and objective of ACHC to promote health care access for all members of the community
- Use of professionalism and best efforts in your position
- Maintain regular, predictable, and punctual attendance
Qualifications
SKILLS:
- Written and oral fluency in both English and Spanish is preferred
- Excellent verbal and written communication skills, including, but not limited to in-person, telephone, and email
- Ability to work independently and to carry out assignments to completion within parameters of instructions given
- Mathematical accuracy
- Experience in dental billing or medical billing, with a strong understanding of dental terminology and procedures
- Revenue billing and collection problem-solving skills
- Ability to listen to and comprehend communication from patients, staff, and others
- Ability to work independently and to carry out assignments to completion within parameters of instructions given
- Proficient with Microsoft Office Suite and other computer-based platforms
- Excellent organizational skills and attention to detail, resulting in a high-level of accuracy
- Demonstrated good problem-solving skills
- Ability to prioritize and perform functions with minimal supervision
- Able to handle multiple tasks simultaneously
- Able to quickly build and maintain rapport with patients, staff and providers of diverse backgrounds
EXPERIENCE & EDUCATION:
- High School Diploma or equivalent
- Minimum two years of experience in private pay and Medi-Cal billing and data reconciliation preferred
- Previous dental billing experience
- Previous Electronic Health Record (EHR) experience preferred
BENEFITS
- 403(B)
- 403(B) matching
- Medical Insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- Paid Holidays
- Vacation Pay
- Sick Pay
PHYSICAL AND MENTAL REQUIREMENTS:
The characteristics described here are representative of those a team member may encounter while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Work Environment: Regularly required to sit for prolonged periods of time, talk, hear, and use hands to operate a standard computer keyboard. The employee is occasionally required to stand and walk. Employee occasionally lifts and/or moves up to 25 pounds.
Hearing: Adequate to perform job duties in person and over the telephone.
Speaking: Must be able to communicate clearly with employees, patients and the community in person and over the telephone.
Vision: Visual acuity adequate to perform job duties, including reading information from printed sources and computer screens.
Cognitive: Aptitude to complete tasks, including abilities such as learning, remembering, focusing, categorizing, and integrating information for decision making, problem-solving, and comprehending.
NOTE: The essential job functions for this position include but may not be limited to those listed in this job description. Employees hired for this position must be able to perform the essential functions of this job without imposing significant risk of substantial harm to the health or safety of themselves or others.
Aria Community Health Center participates in E-Verify.
Aria Community Health Center is an equal opportunity employer and does not discriminate in employment based on race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.
Salary : $22 - $23
