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Dental Insurance Remote Billing Specialist

Role overview

Qualifications

  • 2+ years dental insurance billing
  • High school diploma or GED; some college coursework preferred
  • Knowledge of dental terminology and effective dental revenue cycle techniques
  • Proficiency in Microsoft Office

Responsibilities

  • Understand the entire dental revenue cycle, ensuring timely and accurate posting of insurance payments
  • Prepare and submit clean claims to insurance companies on a daily basis
  • Investigate and accurately resolve claim rejections promptly
  • Utilize HIPAA guidelines at all times

Key facts

  • Remote from: Pennsylvania (USA)
  • Full time
  • Senior (5-10 years)
  • Medical Billing Specialist
  • English

Hard skills

Other skills

  • Microsoft Office
  • Detail Oriented
  • Ability To Meet Deadlines
  • Relationship Management
  • Accountability

About the company

The Practice Mechanic logo

The Practice Mechanic

Business Consulting & Services

The Practice Mechanic, home of the Practice Takeover®, is one of the few dental practice management consulting firms with years of actual experience working in and managing a successful dental practice. Our philosophies and strategies come from that real world experience and offer real results. Whether you are starting a new practice, buying an existing practice or need your systems, philosophies and goals updated in your own practice The Practice Mechanic can help. Typically our customers are experiencing some or all of the following: •Lacking the energy and enthusiasm needed to run a successful business; •Staff issues such as high turnover, low production, low moral; •Not enough New Patients entering the funnel each month; •Dentists that are either recent graduates or new owners; •Don’t have systems in place for recalls, treatment plan follow up, referral systems, etc.; •Don’t understand what all those reports mean, how to read them and what they mean to your practice and your income; •Have never negotiated a PPO fee; •Are operating at more than 45% overhead and expenses The Practice Mechanic can assist with all of these things AND MORE! We offer in office training for both owners and staff, complete practice management consulting, business management, contract negotiations with suppliers and insurance companies, marketing consulting and services (including our own in-house direct mail center) as well as our Practice Takover®.

Company details

IndustryBusiness Consulting & Services
Company size51 - 200

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Job description

The Dental Practice Mechanics

Compensation:
 

  • With 5+ years dental practice experience: $18–$25/hour + BONUS 

Location:
 
Remote—8AM to 5PM in employee's local time zone.  

About the Role
 

Join our growing dental billing team! If you enjoy detail-oriented work, value accuracy, and want to support dental practices in providing excellent patient care, this role could be a great fit.   

Key Responsibilities
 

  • Understand the entire dental revenue cycle, ensuring timely and accurate posting of insurance payments, in compliance with industry standards and organizational policies.  
  • Provide extensive knowledge of laws and regulations of dental coding and posting.  
  • Apply necessary and required adjustments taken on insurance payments.  
  • Efficient knowledge and implementation of Coordination of Benefits.  
  • Prepare and submit clean claims to insurance companies on a daily basis, minimizing any timely filing denials.
     
  • Investigate and accurately resolve claim rejections promptly, reducing insurance aging reports numbers and simultaneously increasing insurance collections.  
  • Knowledge in proper account receivables, notation, and queueing of patient statements.  
  • Utilize HIPAA guidelines at all times.
     

Qualifications
 

  • Technical Competencies
     
  • Possess a deep understanding of Current Dental Terminology (CDT) coding.  
  • Demonstrates radiographic knowledge and interpretation relevant to dental procedures.  
  • Utilize insurance payer websites, both from retrieving EFT payments, claim submission, and leveraging websites to maximize claim payments.  
  • Utilize clearinghouse knowledge to facilitate seamless data exchange.  
  • Attention to Detail and Deadline Orientation
     
  • Maintain a high level of accuracy in insurance billing techniques and documentation.  
  • Meet deadlines consistently, ensuring timely completion of tasks.  
  • Relationship Management
     
  • Collaborate effectively with internal teams, external partners, and clients.  
  • Build and maintain positive relationships with payers, vendors, and internal
    teams to support the company’s mission.  
  • Client Management and Accountability
     
  • Provide exceptional service to client account load of 4-5 clients, addressing inquiries and concerns.  
  • Take accountability for the accuracy and integrity of client and patient data.  
  • 2+years
    dental insurance billing.   
  • Knowledge of dental terminology and effective dental revenue cycle techniques.  
  • High school diploma or GED; some college coursework preferred.  
  • Proficiency in Microsoft Office.  
  • Proficiency in Program Management systems of Eaglesoft, Open Dental and Dentrix. 

Success Criteria
 

  • Maintain a posting accuracy of 98%+.  
  • Maintain an overall audit score of 90%+.  

Benefits
 

  • $0 deductible Capital Blue health insurance plan with employer contribution  
  • Principal dental and vision plans  
  • 6 paid holidays per year  
  • PTO begins accruing on day one, with the potential to earn up to 4 weeks annually
     
  • Employee Assistance Program providing free mental health, financial planning, and legal resources  
  • Flexible Spending Account (FSA)
     
  • Dependent Care FSA (DCAP)
     

Learn More About Us
 

To explore our company culture and services, visit:  
The Practice Mechanic – Remote Dental Insurance Billing
 

Equal Opportunity Employer
 

The Dental Practice Mechanics is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other protected characteristic.  


Compensation: $18-$25/hour

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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