Dental Claims Specialist

Key Responsibilities:

• Enters checks and electronic payments from insurance companies and public programs (for selected locations)
• Allocates payments to the proper services/visit
• Submit dental and medical claims to insurance companies
• Follows up on dental and medical claims
• Reviews of ageing reports related to insurance. This includes investigating late payments and resolving dental and medical claims
• Gathers payments from all Accounts Receivable staff as well as other cash/checks received for the day, and do the daily deposit(s) electronically, or at the bank in the case of cash
• Provides backup support for the Billing Specialist and Collection Specialist
• Other duties as assigned

Why Join Us?

• Meaningful Work – Make a difference in a mission-driven, patient-centered practice
• Professional Growth – Gain valuable experience in a supportive team environment
• Inclusive Workplace – Work in a welcoming setting where all contributions are valued

Requirements

• High school diploma or GED required
• Experience working with Microsoft software, including Word and Excel
• Experience with dental/medical software, such as, but not limited to, Open Dental
• Billing and Collections experience is not required, but highly preferred

Additional Expectations

• Listens to, understands and appropriately responds to patient/customer needs. Meets the reasonable needs of all patient/family/customer groups and improves overall customer satisfaction
• Demonstrates professional behavior with his/her work. Complies with personnel and departmental policies. Supports and participates in quality improvement activities
• Works actively with others to get the job done. Consistently exhibits positive behavior/actions, including maintaining a positive attitude
• Supports and participates in changes and discussions regarding work practices
• Acts and speaks respectfully regardless of the presence or absence of the person. Frequently offers praise to others for doing a good job. Listens to and respects the opinions of others, and maintains confidentiality
• Demonstrates enthusiasm and commitment towards personal growth and development; completes and attends mandated educational courses. Maintain current licensure and certifications, if applicable. Attends and participates in departmental meetings, and if unable to attend proactively asks or gathers missed information
• Addresses issues in a courteous and respectful manner. Maintains the same standard for all patients/families and co-workers. Supports co-workers and patients/families in a positive manner.
• Follows safety practices. Identifies problems and works to resolve safety issues as they occur and in accordance with policy, asking for assistance when necessary. Helps and teaches others
• The passion and willingness to fully embrace and embody Apple Tree Dental' s mission, vision and values.
• Ability to operate a computer and basic office equipment
• Must be well organized and detail oriented
• Excellent math skills
• Ability to work in a team, and willingness to be the back up person for others on the accounting team

Physical Demands

• This position requires sitting, walking and standing associated with a normal office environment.
• Manual dexterity is needed for using a calculator, adding machine and keyboard