Medical Billing Specialist

Description

Medical Billing Specialist – Dental Claims 

Location:  American Fork, Utah (Remote work NOT available)
Company:  Platinum Dental Services – Dental Support  Organization (DSO)
Employment Type:  Full-Time 

About Us:
Platinum Dental Services is a leading Dental Support Organization committed to providing
operational excellence and administrative support to dental practices, enabling providers to
focus on delivering outstanding patient care. We work with a network of specialty dental
providers and are growing rapidly in our mission to streamline and enhance dental operations
across all service areas. 

Position Overview:
We are seeking a highly motivated and detail-oriented  Medical Billing Specialist – Dental
Claims  to join our billing team. The ideal candidate  will have  experience billing medical
insurance for dental procedures  , particularly for  specialty providers such as oral surgeons,
periodontists, and endodontists. This role is crucial to ensuring accurate claim submissions,
timely reimbursements, and effective communication between providers, insurance companies,
and patients. 

Benefits:
* Competitive salary based on experience
* Health, life, and vision insurance with an inhouse dental plan
* PTO and paid holidays 

Requirements

  Qualifications: 

• Minimum 2 years of experience  billing medical insurance  for dental claims. 
• Prior experience working with  specialty dental providers  strongly preferred.
• Strong knowledge of medical claim forms (e.g., CMS-1500), coding (ICD-10, CPT), and   documentation requirements.
•  Familiarity with dental and medical billing software systems (e.g., Open Dental). 
• Excellent organizational and time-management skills. 
• High attention to detail and accuracy.
• Strong communication skills, both written and verbal. 
• Ability to work independently and as part of a team.

Key Responsibilities: 

• Submit dental claims to  medical insurance carriers  for specialty procedures (e.g., oral   surgery, sleep apnea appliances, bone grafts, etc.). 
• Work with the office to verify patient benefits and eligibility for medical insurance   coverage. 
• Work to gather required documentation (e.g., narratives, clinical notes, x-rays).
• Monitor and follow up on outstanding claims to ensure timely payment. 
• Review and appeal denied or underpaid claims as needed.
• Maintain up-to-date knowledge of medical insurance policies related to dental services.
• Accurately post payments and adjustments to patient accounts. 
• Communicate with the office staff regarding the medical insurance benefits and claim   status for the patient.
• Collaborate with other billing team members to ensure efficiency and accuracy across all   accounts.