Medical & Dental Biller

Position: Full-time Medical & Dental Biller
Pay Rate: $24 per hour
Schedule: Monday to Friday, 40 hours per week

The Medical and Dental Biller is responsible for submitting claims for all medical and dental services rendered and researching claims in rejected and/or hold status using the appropriate billing and electronic health record (EHR) systems. This role supports functions related to insurance payers, credentialing, and both internal and external audits while maintaining strict confidentiality. Additional responsibilities include submitting and tracking dental pre‑authorizations, documenting outcomes in the EHR, creating treatment plan cost estimates, and assisting with Ryan White treatment plan estimates and related correspondence.

• High school diploma or equivalent
• Minimum of 2 years of experience in medical billing and/or follow up with all types of insurance carriers including Medicare and Medicaid
• Must have accounts receivable and practice management system experience
• Must be organized, self-sufficient, hardworking, analytical, and detail-oriented

• Maintain professional relationships with patients and staff, addressing any billing issues and/or concerns
• Process dental claims daily via Dentrix Enterprise
• Complete Daily Deposit Transmittals (DDT)
• Completion of Athena worklists (Billing, Hold, Zero Pay, Unapplied, etc.)
• File and scan essential billing documents
• Mail essential medical and dental billing documents/claims daily
• Review overpaid claims, credit balances, and refund requests daily
• Review dental procedure codes not submitted to insurance on a weekly basis
• Print, review, and mail dental patient statements
• Review the Secondary Insurance Billing report monthly to ensure that Athena is submitting claim correctly to all secondary payers
• Review and follow up with billing-related flags from providers, clinical staff, Athena Billing and Dental
• Serve as liaison between insurance carriers and Waikiki Health, reporting any billing-realted issues

Waikiki Health requires proof of the following immunization, with or without reasonable accommodation: TB skin test or chest X-ray, and Hepatitis B (optional).

Waikiki Health is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and pregnancy‑related conditions), gender identity or expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, genetic information, or any other characteristic protected by applicable federal, state or local laws and ordinances.