Description :

1. Verified insurance benefits, calculated patient financial responsibilities including deductibles and co-payments.
2. Reconciled patient accounts, addressing inquiries via phone, email, and chat to resolve billing questions.
3. Reviewed claim denials, contacting payers to clarify reasons and facilitate resolutions.
4. Explained EOBs to patients, ensuring comprehension of billing statements and financial obligations.
5. Processed patient payments while adhering to HIPAA guidelines and maintaining confidentiality.
6. Acted as the primary liaison for billing inquiries, ensuring high standards of customer service and follow-up.
7. Investigated and resolved billing discrepancies, keeping accurate records of adjustments made.

Experience

0-2 Years

Level

Entry Level

Education

AAS

Description :

1. Collaborated with providers to ensure accurate billing and streamline patient flow.
2. Communicated effectively with insurance plans to resolve billing issues and update the finance team.
3. Organized resources and demonstrated accountability for achieving performance objectives.
4. Maintained strong relationships with healthcare professionals and participated in quality improvement initiatives.
5. Prepared and submitted dental claims daily, ensuring prompt payment processing.
6. Managed daily deposits and addressed inquiries from patients and insurance companies.
7. Collected and posted account payments, ensuring thorough follow-up with insurance claims.

Experience

2-5 Years

Level

Junior

Education

AAS

Description :

1. Managed end-to-end billing processes, ensuring accuracy in patient accounts and timely submission of claims to insurance providers.
2. Communicated effectively with patients regarding billing inquiries, payment options, and insurance benefits.
3. Reviewed and corrected billing discrepancies, resulting in a significant reduction in claim denials.
4. Maintained compliance with HIPAA regulations while managing sensitive patient data.
5. Utilized billing software to track payments, outstanding balances, and account statuses.
6. Conducted regular audits of accounts receivable to identify and resolve inconsistencies.
7. Collaborated with dental staff to ensure accurate coding of procedures and proper documentation.

Experience

5-7 Years

Level

Senior

Education

AAS

Description :

1. Managed comprehensive dental claims processing, ensuring timely submission and follow-up on pre-authorizations and outstanding claims.
2. Conducted audits on patient accounts, resolving discrepancies, processing refunds, and establishing payment plans as necessary.
3. Entered and reconciled patient and insurance payments, maintaining compliance with state insurance regulations.
4. Participated in departmental meetings and training sessions, reporting directly to the Billing Manager on workflow improvements.
5. Facilitated electronic and manual billing for multiple dental offices, ensuring accurate documentation for claims submissions.
6. Processed and sent out Explanation of Benefits (EOBs), documenting billing notes and responding to inquiries from dental offices.
7. Identified and corrected errors in electronic claim submissions to ensure compliance and minimize denials.

Experience

7-10 Years

Level

Management

Education

AAS-HIM

Description :

1. Managed patient accounts, ensuring accurate billing and timely claims submission.
2. Conducted thorough insurance verification and maintained updated patient records.
3. Resolved billing discrepancies by collaborating with insurance providers and patients.
4. Processed and followed up on denied claims, improving resolution times.
5. Developed and maintained compliance with HIPAA regulations in all billing practices.
6. Provided training and support to staff on billing procedures and best practices.
7. Created detailed reports on billing performance to identify areas for improvement.

Experience

10+ Years

Level

Executive

Education

AAS

Description :

1. Reviewed and analyzed dental records to ensure accurate coding and compliance with DRG guidelines.
2. Collaborated with dentists to clarify documentation, enhancing coding accuracy and billing efficiency.
3. Managed patient billing inquiries, resolving discrepancies and ensuring timely payments.
4. Conducted audits on aged accounts, prioritizing those nearing timely filing deadlines.
5. Addressed billing rejections within 90 days, correcting errors and resubmitting claims efficiently.
6. Utilized payer websites to verify eligibility, updating patient accounts promptly for accurate billing.
7. Maintained compliance with HIPAA regulations while handling sensitive patient information.

Experience

7-10 Years

Level

Senior

Education

AAS HIT

Description :

1. Collaborated with office staff to accurately file insurance claims and verify patient insurance benefits.
2. Educated patients on their insurance benefits, entered data into dental practice software, and generated activity reports.
3. Processed payments from patients and insurance companies, following up on outstanding claims.
4. Managed overdue accounts and uploaded completed verification forms for insurance claims.
5. Reviewed and monitored reports to ensure timely payments from clients and insurers.
6. Ensured a professional work environment while auditing charges posted in patient ledgers for accuracy.
7. Conducted eligibility checks and reconciled enrollment with third-party payers for claims submissions.

Experience

0-2 Years

Level

Fresher

Education

AAS

Description :

1. Managed patient billing and account inquiries, ensuring timely payment processing for services rendered.
2. Maintained accurate records of accounts receivable and processed payments efficiently.
3. Updated and verified patient information, providing essential support to the dental team regarding billing and patient care.
4. Performed office administrative duties, ensuring seamless operations and access to information.
5. Demonstrated high attention to detail in a fast-paced environment, adapting to both independent and team-oriented tasks.
6. Executed medical billing and coding for dental procedures, accurately applying ICD-10 codes.
7. Complied with HIPAA regulations, maintaining confidentiality and thorough medical record logs for all patients.

Experience

5-7 Years

Level

Management

Education

AAS

Description :

1. Accurately billed and collected revenue for various insurance plans, including Commercial, Federal, and State.
2. Tracked claim status through phone and online portals while composing and following up on claims appeals.
3. Identified and processed adjustments, overpayments, and outstanding balances, reviewing Explanations of Benefits for accuracy.
4. Established strong relationships with insurance carriers and representatives, ensuring proper allocation of coinsurance and deductibles.
5. Managed patient billing inquiries and resolved discrepancies efficiently.
6. Collaborated with internal departments while maintaining strict confidentiality of patient information.
7. Analyzed dental records and treatment plans to ensure accurate coding, assigning appropriate ICD-9, ICD-10, and DRG codes.

Experience

2-5 Years

Level

Junior

Education

AAS

Description :

1. Collaborated with dental providers to gather necessary documentation for accurate coding and billing.
2. Monitored and maintained patient accounts, addressing discrepancies and ensuring timely follow-ups.
3. Tracked insurance claims to guarantee prompt processing and communicated issues to management.
4. Established and nurtured productive relationships with patients and insurance companies.
5. Educated patients on their dental coverage, including deductibles and exclusions.
6. Ensured compliance with HIPAA regulations while processing sensitive patient information.
7. Identified trends in billing issues and proposed solutions for operational improvements.

Experience

7-10 Years

Level

Management

Education

AAS-HIT