Job Description

Job Description

Job Description

At Visualutions, we believe in the mission of Community and Public Health, and that everyone should have access to adequate health, dental, vision, and behavioral health services. For more than two decades, Visualutions has provided public health consulting services to community health centers across the country that are passionate about providing the very best healthcare and services to their patients. As national leaders in providing public health revenue cycle intelligence, workflows, and value-added services, we help make their businesses efficient and financially strong.

Dental Billing Specialist Responsibilities:

• Effectively review and research claims denials and contact payers to verify detailed denial reasons when necessary
• Enter Dental charges
• Performs diagnostic and procedural coding for dental
• Reviews and analyzes the dental record to accurately assign the responsible Attending Physician and Clinical Service in accordance with established guidelines.
• Contact patients to obtain accurate insurance information.
• Complete appeals & reconsiderations for denied or rejected claims.
• Must be able to identify and communicate denial/rejection trends to management
• Must be able to identify and resolve discrepancies
• Navigate and research insurance policies & benefits for policy exclusions for patients.
• Navigate and research payer dental reimbursement policies and exclusions.
• Complete request for reconsideration forms while following payer requirements.
• Must be aware of the timely filing guidelines for claims and reconsiderations/appeals for assigned payers
• Review accounts for accuracy (payments and adjustments)
• Knowledgeable of dental EOB’s, patient deductibles and co pays, and insurance or third-party correspondence
• Posting electronic and manual payments – insurance and patient
• Must complete payment entry timely and accurately
• Must adhere to all HIPAA guidelines/regulations
• Other assigned duties

Requirements:

• High school diploma or equivalent
• 2 years dental billing experience
• Familiar with CDT and ICD 10 codes is required
• Must be familiar with dental terminology and procedures
• Excellent organizational skills and attention to detail.
• Outstanding written and verbal communication skills.
• Good interpersonal skills with a commitment to excellent customer service.
• Capacity to work with sensitive patient information while maintaining confidentiality
• Experience working with payer websites
• Experience in working aged AR
• Experience in an FQHC environment is a plus
• Athena One experience preferred

Benefits:

• Paid time off
• Work from home

Schedule: Monday - Friday, part-time during the day

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