Dental Care Coordinator and Billing Specialist - Guadalupe, AZ

We are looking for a meticulous and organized Dental Care Coordinator and Billing Specialist who effectively captures the dual responsibilities for managing patient care and handling billing processes. The ideal candidate will be a healthcare professional who manages the billing and collections processes, ensuring accuracy and efficiency in handling patient accounts and insurance claims. They will also be responsible for managing and coordinating questions about larger treatment plans or referrals to specialists that the patient may have.

We are looking for a meticulous and organized Dental Care Coordinator and Billing Specialist who effectively captures the dual responsibilities for managing patient care and handling billing processes. The ideal candidate will be a healthcare professional who manages the billing and collections processes, ensuring accuracy and efficiency in handling patient accounts and insurance claims. They will also be responsible for managing and coordinating questions about larger treatment plans or referrals to specialists that the patient may have.

Patient Account Management:
Insurance Coordination:
Administrative Duties:
Coordinating Patient Care:
Patient

Education:


Qualifications: Additional Focus Area Duties and Responsibilities

• Billing and Claims Management:
• Prepare, submit, and track dental insurance claims.
• Monitor and ensure timely payments from insurance companies.
• Review and appeal unpaid or denied claims.
• Generate and issue invoices to patients
• Maintain accurate patient billing records.
• Respond to patient inquiries regarding billing and payment procedures.
• Identify and resolve patient billing complaints.
• Process refunds to patients and insurance companies.
• Verify patient insurance coverage and benefits
• Liase with insurance providers to clarify patient coverage and resolve disputes.
• Stay updated with current dental terminology, coding, and insurance regulations.
• Credentialing new providers with insurance companies.
• Perform data entry and reporting tasks.
• Collaborate with dental office staff to maintain accurate patient records.
• Auditing to ensure patient information remains confidential and up to date.
• Develop and manage individualized care plans
• Schedule appointments
• Ensure timely follow ups
• Point of contact for provider/patient updates
• Educate patients and approved family members about dental conditions, treatment plans, and available resources.
• High school diploma or equivalent; additional education, certification in medical or dental insurance courses, dental assisting license, and radiology certification
• Prior experience as a medical or dental biller
• Familiarity with RPMS, CDT, and ICT coding
• Excellent organizational skills and attention to detail
• interpersonal skills including excellent dental communications and strong writing skills for insurance claim correction/appeals and patient treatment plan presentations
• Ability to work with sensitive patient information while maintaining confidentiality
• Occasional coverage for the Patient Support Service Technician
• Patient interactions:
  Greet patients, answering patient phone calls, and respond to inquiries
• Appointment Managment:
  Schedule and confirm patient appointments manage the dentist's schedule.
• Manage Patient Records:
  Maintain and update patient records, ensure confidentiality and accuracy.
• Administration Tasks:
  Manage office supplies, sort mail, and ensure reception area is clean and welcoming. Scheduling of patients with appropriate time frames and providers.

Required Knowledge, Skills, and Abilities

• Clerical and office support practices.
• Assigned department operations and functions.
• Customer services principles and practices
• Assigned department operations
• English…