Dental Billing Specialist

7 days ago

San Fernando, Central Luzon, Philippines New York Family Dentistry Full time ₱300,000 - ₱600,000 per year

The Dental Billing Specialist is responsible for achieving the billing targets of the practices. This person must have prior dental billing experience and be familiar with Government and Commercial Insurance plans.

Key Responsibilities

  • Posting CDT codes to patient's ledger based on provider clinical notes according to billing guidelines
  • Submission of insurance claims using practice management software
  • Ensuring claims are submitted with correct attachments such as x-rays, narratives, perio charting and intraoral photos
  • Ascertaining why claims have been rejected and implementing corrective measures
  • Identifying irregularities such as missing payments, missing procedures etc in patient accounts
  • Responsible for reconciling all payments received by the practice through multiple payment methods
  • Processing prior authorizations for procedures on behalf of the patient
  • Auditing clinical notes by treatment coordinators and posting procedures to patient's treatment plan
  • Compiling dental records in response to requests from patients and dental insurances

Qualifications

  • Experience in Dental Office setting of at least 5-10 years
  • Excellent knowledge of Dental Insurances, specifically PPO, DMO, DHMO (Capitation), and NYS Managed Care Programs
  • Understanding In-network /Out-of-network benefits as well as fee for service
  • Possess working knowledge of General Dentistry and Orthodontics such as common procedures and treatment
  • Up to date knowledge of ADA billing guidelines including CDT coding updates and frequency limitations
  • Excellent critical thinking skills to help solve business problems and make decisions
  • Demonstrated ability to manage time and prioritize projects to meet deadlines
  • Have a high speed internet connection and dedicated workspace in order to work from home
  • Ability to maintain confidentiality regarding highly sensitive issues

General Skills

  • Insurance verification
  • Claims processing
  • Payment posting
  • RCM
  • Dental Insurance Plans
  • EOBS
  • Fee Schedules

  • Dental Billing Team Leader

    2 weeks ago

    San Fernando, Central Luzon, Philippines New York Family Dentistry Full time ₱900,000 - ₱1,200,000 per year

    Responsibilities:Lead and oversee the daily operations of the billing department, ensuring efficiency and accuracy.Develop and implement effective billing and collection policies and procedures.Ensure compliance with U.S. government and third-party payer regulations.Optimize insurance payer contracts, pricing strategies, and reimbursement rates.Oversee...

  • Remote Billing Manager

    2 weeks ago

    San Fernando, Central Luzon, Philippines New York Family Dentistry Full time ₱900,000 - ₱1,200,000 per year

    Are you an experienced dental billing professional with a talent for leadership and process optimization? We're seeking a Dental Billing Manager to lead our billing team, streamline operations, and ensure accurate, compliant, and timely billing processes across our practices.Why You'll Love This Role:Lead and mentor a skilled billing team, shaping best...

  • Accounts Receivable Specialist

    1 week ago

    San Fernando, Central Luzon, Philippines halkin global Full time ₱250,000 - ₱750,000 per year

    Job Description:We are seeking a proactive and detail-oriented AR Specialist with strong communication and analytical skills to support efficient billing, collections, and account management.Key Responsibilities:Process invoices, payments, and bank reconciliations with accuracyManage high-volume accounts and ensure timely collectionsAnalyze account data to...

  • Dialer Specialist

    3 days ago

    San Fernando, Central Luzon, Philippines OneMCI Full time ₱250,000 - ₱500,000 per year

    JOB TYPEFull-TimePOSITION OVERVIEWAt MCI we are committed to fostering an environment where professionals can build meaningful careers, access continuous learning and development opportunities and contribute to the success of a globally expanding, industry-leading organization.As a Dialer Specialist you will be responsible for managing and optimizing the...

  • Assembly Prep Line Specialist

    3 days ago

    San Fernando, Central Luzon, Philippines Compass Group Full time $36,700 - $60,000 per year

    We are hiring immediately for full time ASSEMBLY PREP LINE SPECIALIST positions.Location: Fresh and Ready Arroyo Avenue, San Fernando, CA Note: online applications accepted only.Schedule: Full time schedule. Days and hours may vary; weekends are required. More details upon interview.Requirement: Previous food manufacturing experience is preferred. Fixed Pay...

  • IT Support Specialist

    3 days ago

    San Fernando, Central Luzon, Philippines Christ the Saviour Medical Center Inc. Full time ₱180,000 - ₱360,000 per year

    Key Responsibilities:Provide First-level support for BizBox ERP Applications(e.g., inventory, billing, finance, HR modules).Troubleshoot issues related to Bizbox system access, user permissions and data entry.Coordinate with BizBox support escaltion of unresolved system issues.Assist with IT hardware/software installation, configuration, and...

  • Sales Support Specialist

    3 days ago

    San Fernando, Central Luzon, Philippines OneMCI Full time ₱100,000 - ₱120,000 per year

    POSITION OVERVIEWAt MCI we are committed to fostering an environment where professionals can build meaningful careers, access continuous learning and development opportunities and contribute to the success of a globally expanding, industry-leading organizationWe are seeking a detail-oriented and proactive Sales Support Specialist to join our dynamic sales...

  • Sales Support Specialist

    3 days ago

    San Fernando, Central Luzon, Philippines OneMCI Full time ₱350,000 - ₱550,000 per year

    JOB TYPEFull-TimePOSITION OVERVIEWAt MCI we are committed to fostering an environment where professionals can build meaningful careers, access continuous learning and development opportunities and contribute to the success of a globally expanding, industry-leading organizationWe are seeking a detail-oriented and proactive Sales Support Specialist to join our...

  • Call Center Agent

    22 hours ago

    San Fernando, Central Luzon, Philippines OneMCI Full time ₱100,000 - ₱120,000 per year

    JOB TYPEFull-TimePOSITION OVERVIEWAt MCI we are committed to fostering an environment where professionals can build meaningful careers, access continuous learning and development opportunities and contribute to the success of a globally expanding, industry-leading organization. Are you a skilled communicator with a passion for resolving financial challenges...

  • Fraud Prevention Specialist

    3 days ago

    San Fernando, Central Luzon, Philippines Connext Full time

    We're HiringDiscover why our work environment was awarded as a Great Place to Work. Join our team.Apply TODAYWe are currently looking for aFraud and Risk Analystto support our client based in the US.What's in it for you?There's a lot to love about Connext. Here are some of the reasons why:Competitive salary and bonuses25% Night Differential Pay20 Annual...