Ensure all Dental charges are processed completely and accurately within 48 hours of office visit. Submit electronic and paper claims on a rotating daily basis
Accurately post payment, and adjustments to patient accounts according to contractual agreements
Ensure all EOB's are processed and any denied claims are resubmitted accurately. Follow up on any reports through the electronic claims system
Send patient statements weekly, and follow up on past due accounts with collection calls
Reconcile co pay collections, with deposits
Provide information and guidance to patients to help them through the process of obtaining health care.
Provide follow-up with patients via telephone or correspondence to ensure that all necessary information has been obtained.
Reviews self pay list and re-verifies insurance coverage to ensure timely billing.
Occasional processing dental claims to medical carrier..
Performs other job related duties as required or assigned
Demonstrate understanding and commitment to the health center mission.
Demonstrate understanding and commitment to the established CHC Values and Standards
High school diploma or GED required.
Associates or Bachelors Degree in Business preferred.
Experience with use of various PC based software products, including but not limited to: word processing, spreadsheets and database programs such as MS Access. Experience with Dental Billing, Mass Health and 3rd party billing and collections required. Experience with Medical Manager software preferred. Knowledge of the Uncompensated Care pool, and other state funding helpful.
Skills : Accurate Data Entry: Novice
Behaviors : Team Player: Works well as a member of a group Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
Motivation : Work-Life Balance: Inspired to perform well by having ample time to pursue work and interests outside of work Goal Completion: Inspired to perform well by the completion of tasks Self-Starter: Inspired to perform without outside help