Dental Billing Specialist Resume
Summary : As a Dental Billing Specialist, Worked with Member Services to communicate updated insurance demographics and sliding fee documentation and as well as assisted front desk staff to help ensure patient demographics, insurance, sliding fee, and proof of income (POI) were accurately entered/updated in the system, Entered Medical Record charges in patient accounts.
Skills : Knowledge of Dental Procedures, Insurance Billing.
Description :
- Verified benefit coverages and calculated patient deductibles, co-payments, insurance, and patient financial responsibilities.
- Efficiently reconciled patient accounts and answered and returned phone calls, emails, and chats from patients with billing questions.
- Effectively reviewed and researched claim denials and contacted payers to verify detailed denial reasons, when necessary.
- Navigated and researched dental reimbursement policies and exclusions effectively explained EOBs and communicated financial responsibilities to patients.
- Requested and processed payments from patients with balances owed, and adhered to all HIPPA guidance/regulations.
- Maintained a professional demeanor with patients and staff at all times, and served as primary medical/dental Billing Specialist, responsible for activities related to billing, third-party and patient follow, and customer service, ensuring optimal billing and follow-up standards were maintained.
- Conducted research, and resolved and communicated patient billing discrepancies and adjustments.
Experience
10+ Years
Level
Senior
Education
High School Diploma
Dental Billing Specialist Resume
Summary : As a Dental Billing Specialist, responsible for Identifying and resolving patient billing complaints, Preparing, reviewing, and sending patient statements, Following up on aging claims or delinquent accounts, and also Reviewing accounts and preparing information for the collection agency.
Skills : Billing Software, HIPAA Compliance.
Description :
- Worked closely with providers and other clinical staff to ensure accuracy of billing and Maintained smooth patient flow.
- Communicated as needed with insurance plans on billing issues and communicated information regarding patient billing activities and issues to the Controller and Finance Team.
- Organized work/resources to accomplish objectives and meet deadlines and Demonstrated personal responsibility for job performance.
- Maintained relationships with health plans, healthcare providers, other professionals, coworkers, and patients and participated in quality improvement activities.
- Prepared and submitted dental claims daily to various insurance companies either electronically or by paper and promptly processed payments from insurance companies.
- Prepared daily deposits and answered questions from patients, clerical staff, and insurance companies.
- Collected, posted, and managed account payments for Orthodontics Submitted claims and followed up with insurance companies.
Experience
7-10 Years
Level
Management
Education
High School Diploma
Dental Billing Specialist Resume
Headline : As a Dental Billing Specialist, Issued and posted bills, receipts, and invoices checked the validity of debit accounts, Updated the accounts receivable database with new accounts or missed payments, and also Ensured all clients remained informed on their outstanding debts and deadlines.
Skills : Customer Service, Detail-Oriented
Description :
- Performed various collection actions including contacting patients by phone, and correcting and resubmitting claims to third-party payers.
- Participated in educational activities attended monthly billing meetings, and conducted myself in a respectful and professional manner.
- Maintained the strictest confidentiality; adhered to all HIPAA guidelines/regulations, and operated a computer and basic office equipment.
- Operated a multi-line telephone system, and skilled in answering a telephone in a pleasant and helpful manner.
- Read, understood, and followed oral and written instructions, and established and maintained effective working relationships with patients, employees, and the public.
- Assumed the responsibility of receiving and sorting incoming payments with attention to credibility.
- Managed the status of accounts and balances and identified inconsistencies.
Experience
5-7 Years
Level
Executive
Education
High School Diploma
Dental Billing Specialist Resume
Objective : As a Dental Billing Specialist, responsible for Providing solutions to any relative problems of clients, Writing thorough reports on billing activity with clear and reliable data, and Communicating necessary information to assist patients with their dental insurance and to make sure they understand their benefits.
Skills : Financial Management, Time Management.
Description :
- Processed dental claims for pre-authorization, and billing and was able to follow up on outstanding claims.
- Followed up with any unpaid dental claims, auditing accounts, processing refunds, and setting up payment plans.
- Entered patient and insurance payments, and understood state insurance, entering payments and following up for any unpaid claims
- Attended and participated in meetings, committees, and training sessions as directed, and reported to the Billing Manager.
- Billed dental claims (multiple offices) electronically and in correspondence via mail, printed claims daily, and requested any additional information that was needed from the office in order to send out claims for payment.
- Entered Explanation of Benefits (EOBs) and sent out statements, sent out claims, documented billing notes, and processed requests via email from offices in the field.
- Reported and made any corrections that were needed in order for claims to be sent electronically.
Experience
2-5 Years
Level
Executive
Education
Certification in Medical
Dental Billing Specialist Resume
Objective : As a Dental Billing Specialist, responsible for Generating and sending patient bills and statements, Explaining billing processes and payment options to patients with a positive attitude, and also Assisting patients with billing inquiries and concerns.
Skills : Knowledge of Dental Procedures, Insurance Billing.
Description :
- Ensured that insurance was active and correctly ordered on claims, and coded and diagnosed verification.
- Ensured that treatments were charged at the correct rate, and ensured that all procedures requiring prior authorization had documentation of preauthorization on file.
- Assisted with denials (calling insurance, correcting coding, communicating with providers), and assisted with collecting past-due balances on accounts.
- Worked claims on hold or denied claims and reviewed missing slips daily, responded to patient inquiries, and researched billing questions in collaboration with the Practice Manager.
- Completed special projects for the Practice Manager as needed and Accurately prepared and submitted dental insurance claims in a timely manner.
- Verified patient insurance eligibility and coverage, and followed up on denied or unpaid claims, identifying and addressing issues promptly.
- Assisted with patient and insurance refunds and worked with patients that do not understand their bills.
Experience
2-5 Years
Level
Executive
Education
High School Diploma
Dental Billing Specialist Resume
Headline : As a Dental Billing Specialist, responsible for Establishing payment plans when necessary, Maintaining organized and precise records of patient billing and insurance claims, Ensuring compliance with privacy and confidentiality regulations (HIPAA), and also Reconciling insurance payments and patient payments against claims and outstanding balances.
Skills : Billing Software, HIPAA Compliance.
Description :
- Reviewed and analyzed dental records to assign appropriate DRG (Diagnosis Related Group) codes.
- Utilized ICD-9 and ICD-10 coding systems to accurately assign diagnosis codes for dental procedures.
- Ensured compliance with coding guidelines and regulations, and collaborated with dental providers to clarify documentation and ensure accurate coding.
- Assisted with medical billing processes related to dental services maintained confidentiality of patient information and adhered to HIPAA regulations.
- Worked aged accounts on assigned payers prioritizing accounts that were approaching timely filing denial.
- Devoted time weekly to work on current rejections 1 to 90 days old, and fixed errors and re-billed accordingly.
- Looked up payer eligibility using payer websites or called payers to gather needed information for billing, updated all accounts in the system for that patient, and promptly re-billed and contacted guarantors as needed to determine insurance coverage.
Experience
5-7 Years
Level
Executive
Education
High School Diploma
Dental Billing Specialist Resume
Summary : As a Dental Billing Specialist, responsible for Providing instruction to and reviewing with Providers, Practice Manager, and Controller regarding any errors and omissions on a monthly basis related to charges posting to the Ledgers, Continuing personal education on any billing practice changes as initiated by insurance carriers and/or state agencies.
Skills : Customer Service, Detail-Oriented.
Description :
- Partnered with the Office team to adequately file insurance claims and verified the patient’s health insurance benefits.
- Explained insurance benefits to patients, entered data using dental practice software, and generated reports for all activities.
- Posted payments made by patients and insurance companies and followed up on non-paid insurance claims.
- Managed late payments and overdue accounts and uploaded completed insurance verification forms.
- Monitored weekly, monthly, and quarterly reports to confirm payments from clients and insurance companies.
- Maintained a safe, clean, and professional work area and Reviewed all charges posted into Patients’ Ledgers to include ADA codes appropriate to each dental carrier.
- Provided second review prior to sending claims of eligibility status of patients to include running REVS, calling Managed Care Organizations and state organizations, and reconciliation of enrollment from 3rd party payors such as PACE and SCO.
Experience
7-10 Years
Level
Management
Education
High School Diploma
Dental Billing Specialist Resume
Summary : As a Dental Billing Specialist, Entered patient and insurance information into the billing system, Coded and verified dental procedures and diagnoses, Processed and filed insurance claims followed up on their status, and Contacted insurance companies and patients to resolve billing issues.
Skills : Communication, Problem-Solving, Financial Management.
Description :
- Completed patient billing and account management and processed payments for services rendered.
- Processed accounts receivable and maintaining accurate records of all accounts.
- Ensured that all patient information was up to date and accurate, and provided general support to the dental team regarding patient care, billing, and other activities as assigned.
- Ensured that all information was available to the dental team at all times and performed office administrative duties as assigned.
- Worked in a fast-paced environment with a high level of attention to detail and accuracy and worked independently or in a team environment depending on the needs of the business.
- Performed medical billing and coding for dental procedures. Utilized the ICD-10 coding system to accurately assign diagnostic codes.
- Followed all HIPAA policies and procedures to maintain complete medical record logs for all patients.
Experience
10+ Years
Level
Senior
Education
High School Diploma
Dental Billing Specialist Resume
Headline : As a Dental Billing Specialist, responsible for Reviewing patient records and documentation to ensure proper coding and billing, Collaborating with dental providers to ensure accurate and timely submission of claims Staying up-to-date with changes in coding guidelines and regulations, Maintaining patient confidentiality, and adhering to HIPAA regulations.
Skills : Knowledge of Dental Procedures, Insurance Billing.
Description :
- Accurated billing and collecting of revenue for financial classes including Commercial, Federal, and State insurance plans.
- Obtained and tracked claim status via phone and online portals, and composed and followed up on claims appeals
- Appropriately identified, addressed, submitted, or processed adjustments, overpayments, and outstanding balances, and reviewed Explanation of Benefits.
- Built relationships with insurance carriers and representatives and allocated coinsurance and deductibles appropriately within the database.
- Reviewed and addressed incoming mail correspondence, and communicated with patients regarding insurance checks.
- Communicated and collaborated with the internal departments and maintained strict confidentiality of patient personal information.
- Reviewed and analyzed dental records and treatment plans to ensure accurate coding for medical billing purposes, and assigned appropriate ICD-9, ICD-10, and DRG codes to dental procedures and diagnoses.
Experience
5-7 Years
Level
Executive
Education
High School Diploma
Dental Billing Specialist Resume
Summary : As a Dental Billing Specialist, responsible for Reviewing dental claims and patient ledgers for accuracy; ensuring X-rays are clear and match documentation, Submitting and following up on dental claims, reading and interpreting explanations of benefits and resolving any errors and or denials, and also Determining when claims must be appealed and follow up on the appeal.
Skills : Billing Software, HIPAA Compliance.
Description :
- Collaborated with dental providers to obtain the necessary documentation for coding and billing purposes.
- Stayed up-to-date on changes in coding regulations and guidelines and provided customer service regarding billing issues
- Resolveed patient discrepancies monitored and maintained patient accounts and patient calls.
- Tracked insurance claims ensured timely processing for payment, and communicated trending problems with management.
- Enlisted the efforts of management when necessary to accelerate the payment process.
- Established and maintained effective and cooperative working relationships with patients and insurance companies.
- Communicated with patients and or patient advocates about dental coverage including but not limited to annual deductibles, exclusions, and limitations.
Experience
7-10 Years
Level
Management
Education
High School Diploma
