Dental Biller- Ortho Claim Management
3 days ago
Designate a Virtual Orthodontic Biller with strong attention to detail and excellent organizational skills to handle Invisalign billing across all five locations. This role will focus on accurate and timely orthodontic claim submission, insurance follow up, payment posting and office support, while also assisting the billing team with general claims as needed.
Requirements:
KEY RESPONSIBILITIES:
Ortho Claim Management:
- Submit orthodontic claims using correct CDT codes:
- D8090 – Comprehensive ortho treatment (initial case submission)
- D8670 – Periodic ortho visits
- D8680 – Final visit/treatment completion
- Ensure every Invisalign visit has a submitted claim form.
- Trace and follow up on outstanding or denied ortho claims.
- Correct and resubmit claims as necessary.
Payment Posting & Reconciliation::
- Post automatic and quarterly insurance payments by patient and office.
- Identify and process accounts paid in full by insurance, including initiating patient refunds.
- Maintain accurate documentation for all payments and adjustments.
Compliance & Accuracy::
- Confirm that claims align with treatment rendered and include accurate CDT codes and supporting documentation.
- Work closely with clinical and administrative staff to ensure compliance with insurance requirements.
- Conduct routine audits to maintain consistency and prevent errors.
Communication & Support::
- Assist the call center by answering overflow calls related to potential new patient appointments and current patient appointments and questions.
- Respond to requests and tasks through Leads and Kambam platforms.
- Maintain professional communication with all office teams to ensure timely case handling and billing support.
General Billing Support::
- Provide support with outstanding general dental claims when requested to assist the billing team and meet departmental goals.
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