Dental Billing Specialist

• Location 2300 Wolflin Avenue,Amarillo, TX, 79109,United States
• Employee Type FT Non-Exempt
• Required Degree High school
• Manage Others No

To support the mission, vision, and values of Amarillo Pediatric Dentistry and Orthodontics. A Billing Specialist is responsible for all functions of billing processes to include review of the claim, patient communication, and staff training.

• Assist billing manager with claims management as follows:
  • Ensure that insurance is active and correctly ordered on claims
  • Coding and diagnosis verification
  • Ensure that treatments are charged at the correct rate
  • Ensure that all procedures requiring prior authorization have documentation of preauthorization on file
  • Assist with denials (calling insurance, correcting coding, communicating with providers, etc.)
  • Assist with collecting past due balances on accounts.
  • Assist with patient and insurance refunds
  • Work with patients that do not understand their bills
  • Work claims in hold or denied claims
  • Review missing slips daily
• Responds to patient’s inquiries and researches billing questions in collaboration with the Practice Manager.
• Complete special projects for Practice Manager as needed

• Requires long periods of time sitting while on the telephone and/or doing computer work
• Requires sufficient near vision to be able to read documents and computer screen
• Essential to have ability to use routine office equipment such as computer, printer, copier, scanner and telephone
• Essential to have ability to hear routine conversations
• Essential to have ability to comprehend both oral and written communications
• HIPPA Classification:
  Unrestricted Access: A workforce member with unrestricted access will have full access to patient’s protected health information, including the patient’s entire medical record, for patient care purposes

• Minimum 24 months of dental billing/coding, preferred
• GED/High School Diploma required
• Must be at least 18 years of age to meet insurance liability requirements
• Ability to establish and maintain effective, courteous working relationships with patients, staff members, insurance entities and others
• Ability to work under pressure in fast-paced environment
• Ability to work flexible hours to meet job requirements
• Presents self in a professional manner, dress and actions

PLEASE NOTE:

This job description is not intended to be an exhaustive list of all duties, responsibilities or qualifications associated with the job nor is it intended to be an employment contract, implied or otherwise.

• Depending on Experience (DOE)

• Monday to Friday
• Health insurance
• Paid time off
• Vision insurance
• 401(k)
• 401(k) matching
• Health savings account

All APDO subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. APDO subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

• Minimum 24 months of dental billing/coding, preferred
• GED/High School Diploma required
• Must be at least 18 years of age to meet insurance liability requirements
• Ability to establish and maintain effective, courteous working relationships with patients, staff members, insurance entities and others
• Ability to work under pressure in fast-paced environment
• Ability to work flexible hours to meet job requirements
• Presents self in a professional manner, dress and actions