Job Opportunities API

Description Basic Function: To accurately collect and input billing data into the computer system Principal Accountabilities: • Enter patient charges into the practice management system • Ensure patient and insurance information accurately into the practice management system • Verify and obtain insurance eligibilities for all patient visits • Verify billing charges with the chart note to make sure all charges match the coding guidelines and all procedures are billed correctly • Communicate questions in a task to providers regarding documentation and/or billing charges • Print and work Open Encounter Report daily • Work Credit Balance report and Aging reports • Be able to provide estimates, predeterminations and/or outreach • Complete and send out Medicaid threshold forms • Must be able to use the CPT and/or CDT coding book • Act as a backup for the Dental Billing or Billing Representative-payment poster • Reconcile and close receipts and charges to daily journal, computer generated reports to ensure accuracy • Assist in the training of Dental or Billing staff • Assist management in compiling necessary information for audits, both internal and those required by outside entities. • Other duties and responsibilities as may be requested by supervisor and/or management • Cross training for posting explanation of benefits • Post daily Time of Service, collection, slide, daily logs and/or incoming payments • Contact insurance companies to follow up on delinquent claims • Follow up on denied claims by sending claim status requests to appropriate insurance companies • Process claims for service via websites of insurance companies. *This position has the option to be hybrid, once training is completed. Requirements • High school graduate or GED • Must have the ability to maintain the knowledge of coding guidelines • Verbal and written communication skills, office applications preferred • Demonstrate proper judgment and decision making skills • Comply with the organizations code of conduct, safety rules and adheres to all company policies • Must be willing to and demonstrate the ability to cooperate, work, and communicate with coworkers, supervisors, and visitors to our facility in an ethical, effective and professional manner • Must demonstrate computer proficiency with Microsoft Suite and the practice management system • Must possess the ability to display compassion and work well in stressful situations • Must be keenly aware of the importance of confidentiality in all aspects of the position • Upgrade to a higher level from Billing Rep. to Specialist to Senior would depend on length of employment, current work performance, how many insurances one is taking on and accuracy in completing in a timely fashion