Job Description - Dental Billing and Financial Services Specialist
Howard Brown Health is a nationally recognized leader in LGBTQ+ health and wellness. Our commitment to inclusive and affirming care has made us a cornerstone of the Chicago community. At Howard Brown, we believe in providing holistic, patient-centered care that empowers individuals and enriches lives.
Why Join Us?
Be part of a mission-driven organization dedicated to health equity and social justice.
Work in a supportive, inclusive, and culturally competent environment.
Access to continuous learning opportunities and professional development.
Comprehensive benefits package.
Contribute to groundbreaking health initiatives and research.
Benefits
Employer-sponsored health, dental, and vision insurance with two PPO plans and an HMO plan.
BCBS HMO, PPO, and PPO Select Plans
BCBS Dental
BCBS Vision
Paid Time Off:
3-weeks paid vacation and 1-week of personal time
12 accrued sick days per year
10 paid holidays, including Juneteenth
PTO Exchange allows employees to turn unused PTO into liquid assets
401k program with up to 5% employer match after 90 days
Employer-paid basic life insurance valued at one times the annual salary
Voluntary Life and AD&D, and Short-term and Long-term disability
Pre-tax commuter and parking benefit account
Flexible Spending Accounts for healthcare and dependent care
Tuition Reimbursement and Student Loan Forgiveness Programs; NHSC & PSLF
Employee Assistance Program with 5 employer-paid counseling sessions
50% off at Brown Elephant Resale Shops and discounts at local businesses
SALARY: The position pays $20.61/hour
PRINCIPLE DUTIES AND ACCOUNTABILITIES
Oversees lifecycle billing processes for the dental practice business unit.
Reviews claims stopping for coding errors.
Ensures accuracy and completeness of treatment codes and insurance details.
Identifies and rectifies coding discrepancies to minimize errors in claim submissions.
Reviews and clears edits for claim submission.
Addresses any edits or rejections encountered during claim submission process.
Resolves issues such as missing information or documentation to ensure smooth processing.
Proactively works on follow-up of denied claims to determine reasons for denials.
Communicates with insurance payors to clarify claim details, provide additional information, or appeal denials, as necessary.
Implements corrective actions to optimize revenue and minimize financial losses for the dental practice.
Monitors market place billing best practices in support of continuous process improvement efforts.
Produces regular and ad hoc reports as requested.
Other duties as assigned and/or required within scope of role.
MINIMUM QUALIFICATIONS
High school diploma or GED equivalent required.
Minimum two (2) years professional experience Experience in healthcare and/or clinical billing setting preferred.
KNOWLEDGE, SKILLS, ABILITIES (K/S/A)
Functional and proficient knowledge of pre-authorization requirements and procedures
Ability to proactively engage in ensuring smooth interactions and resolution of billing discrepancies
Functional and proficient knowledge of various technologies including, but not limited to MS Suite and billing software platforms
Ability to maintain confidential information
Effective communication competencies including written, verbal and listening
Strong problem solving acumen and the ability to engage for supervisory support when appropriate
Ability to analyze denials, identify root causes such as coding errors or documentation deficiencies, and implement corrective measures to minimize future denials
Ability to demonstrate an understanding and acceptance of equity, inclusion and diversity concepts, and that they are broader than just race, ethnicity, and gender
Ability to work affirmatively with gay, lesbian, bisexual, transgender, queer (LGBTQ) and HIV positive patients
ADA SPECIFICATIONS
Requires ability to speak audibly and listen actively.
Requires ability to use computers, telephones and other office equipment.
Requires ability to sit for extended periods of time.
EQUAL OPPORTUNITY STATEMENT: Decisions and criteria governing the employment relationship with all employees at Howard Brown are made in a non-discriminatory manner, without regard to race, color, creed, religion, national origin, sex, marital status, pregnancy, disability, sexual orientation, gender identity, veteran status, age, FMLA status, or any other factor determined to be unlawful by federal, state or local statutes.
The above statements are intended to describe the general nature and level of work being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. Management reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.
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