Dental Claims Specialist

Full Time
Loveland, OH 45140
$18 - $20 an hour
Posted
Job description
Centerprise Inc. is seeking to hire a Dental Claims Specialist to join our team.


Centerprise is currently offering a $1000 Sign-On Bonus


JOB SUMMARY:
This is a hybrid-remote position that requires 30-days in office training. After 30 days, may be eligible to work a hybrid-remote schedule which will include 2-3 in office days per week.

Responsible for preparation and submission of electronic insurance claims. Answering patient insurance questions and following-up on claims denied or unpaid. Will provide daily claim batching and submission. Assist with all other billing and finance duties as needed.

About the Company
:

Centerprise is a professional services organization providing consulting and Revenue Cycle Management services to Federally Qualified Health Centers (FQHCs). We are located outside Cincinnati, Ohio, and conduct business nationally.

Centerprise is a company on the rise! We are very excited to say that we currently employ 25 staff members, and we are steadily growing! We take great pride in focusing on employee satisfaction. Happy employees; means happy customers!

At Centerprise we offer our clients a wide variety of services, therefore, we require a large range of skill sets within our company. We would love to hear from dynamic individuals who are seeking an opportunity to grow their skills in an upbeat, fast paced, and team-based environment.

Centerprise has a small company feel, with larger company resources. Please refer to our website for more information, www.ctprcm.com.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Competently operates standard office equipment, EHR software(s), and phone system.
  • Electronically submits “clean” insurance claims timely including current claims, secondary claims, and 90-day re-run claim. Consistently scrubs each claim for accuracy.
  • Research denials and unpaid claims. Coordinates follow-up calls to insurance companies and Clients.
  • Accurately tracks and identifies claim denial trends. Monitors EOBs for high and low rates to maximize reimbursement.
  • Coordinates claim submissions with appropriate office staff as needed.
  • Completes Aging Report(s) and research accounts with insurance companies and/or Clients by fax, phone, electronically, and in writing.
  • Processes all dental claims for various insurance carriers including but not limited to Medicaid, Medicaid Managed Care, and Commercial.
  • Regularly corrects and resubmits all rejections within appropriate time frame.
  • Regularly communicates procedure code changes as appropriate.
  • Generates reports and forms for staff, which may include Electronic detailed reports, and other insurance-specific forms.
  • Notate accounts accurately on claim status.
  • Checks, corrects, and adjusts errors in patient demographics.
  • Consistently reviews claims for accurate CDT and ICD coding. Corrects any errors as needed, as well as coordinating with Clients.
  • Provides support to Clients with questions on coding, insurance carriers, and other questions as needed.
  • Answers billing questions from patients, insurance companies and Clients.
  • Verify appropriate write-offs associated with EOBs and making adjustments to patients’ accounts.
  • Participates in month-end reconciliation and payer analysis process.
  • Acts as a back-up for Billing Clerks and Payment Poster staff.
  • Excellent verbal and written communication skills.
  • Must be able to multi-task.
  • Detail orientated and attentive to accuracy.
  • Other duties as assigned

QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty completely. The requirements listed below are representative of the knowledge skill and/or ability required.

Minimum Qualifications:

  • High School or Equivalent (GED). Associate degree preferred.
  • 2+ years of dental billing experience required. FQHC billing experience is a plus.
  • Proficiency with Microsoft Office Suite. Must be able to work with Excel spreadsheets.
  • EHR experience is required. Preferred experience with NextGen, eClinicalWorks, and/or Dentrix.
  • Excellent written and oral communication skills
  • Must be able to work with sensitive information in a confidential manner
  • Knowledge of Medical Terminology, CDT and ICD-10 Coding, Electronic Billing, and HIPPA

Pay:
$18-$20/hour based on experience

Benefits:
  • Competitive benefits package, including options to enroll in the following programs: Health, Dental, Vision, Life, Short Term Disability, Long Term Disability, Flex Savings Accounts
  • 401 (k) Program with competitive company match
  • Courtesy Plan, full time staff and their immediate family members are eligible for courtesy treatment at any HealthSource of Ohio office up to $500.00 per family
  • PTO and Long-Term Sick Bank, full time employees earn up to 25 days per year in first calendar year: 15 days of Paid Time Off (PTO), and 10 days of Long-Term Sick Bank (LTSB)
  • Credit Union Privileges, Sharefax Credit Union
  • Quarterly Bonus Incentive Program

Schedule:
  • Monday to Friday; no evenings, or weekends
  • 30-days in office training required. After 30 days, eligible to work a hybrid-remote schedule which will include 2-3 in office days per week.

Work Location:
Hybrid remote in Loveland, OH 45140. Must be able to commute or planning to relocate before starting work.

Centerprise Inc. would love to hear from people who are seeking an opportunity to grow their skills in an upbeat, fast paced, and team-based environment.

Centerprise Inc. is an Equal Opportunity/Affirmative Action Employer:
Minority/Female/Disabled/Veteran

#CTP1

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