Billing Rep

Basic Function: To accurately collect and input billing data into the computer system

Principal Accountabilities:

1. Enter patient charges into the practice management system
2. Ensure patient and insurance information accurately into the practice management system
3. Verify and obtain insurance eligibilities for all patient visits
4. Verify billing charges with the chart note to make sure all charges match the coding guidelines and all procedures are billed correctly
5. Communicate questions in a task to providers regarding documentation and/or billing charges
6. Print and work Open Encounter Report daily
7. Work Credit Balance report and Aging reports
8. Be able to provide estimates, predeterminations and/or outreach
9. Complete and send out Medicaid threshold forms
10. Must be able to use the CPT and/or CDT coding book
11. Act as a backup for the Dental Billing or Billing Representative-payment poster
12. Reconcile and close receipts and charges to daily journal, computer generated reports to ensure accuracy
13. Assist in the training of Dental or Billing staff
14. Assist management in compiling necessary information for audits, both internal and those required by outside entities.
15. Other duties and responsibilities as may be requested by supervisor and/or management
16. Cross training for posting explanation of benefits
17. Post daily Time of Service, collection, slide, daily logs and/or incoming payments
18. Contact insurance companies to follow up on delinquent claims
19. Follow up on denied claims by sending claim status requests to appropriate insurance companies
20. Process claims for service via websites of insurance companies.

*This position has the option to be hybrid, once training is completed.

• High school graduate or GED
• Must have the ability to maintain the knowledge of coding guidelines
• Verbal and written communication skills, office applications preferred
• Demonstrate proper judgment and decision making skills
• Comply with the organizations code of conduct, safety rules and adheres to all company policies
• Must be willing to and demonstrate the ability to cooperate, work, and communicate with coworkers, supervisors, and visitors to our facility in an ethical, effective and professional manner
• Must demonstrate computer proficiency with Microsoft Suite and the practice management system
• Must possess the ability to display compassion and work well in stressful situations
• Must be keenly aware of the importance of confidentiality in all aspects of the position
• Upgrade to a higher level from Billing Rep. to Specialist to Senior would depend on length of employment, current work performance, how many insurances one is taking on and accuracy in completing in a timely fashion