Billing and Insurance Speclialist

Private Dental Office
Little Egg Harbor Township, NJ

Job Description

Job Description

Core Responsibilities

  • Insurance Management:
    • Verify patient insurance eligibility, co-pays, deductibles, and plan limitations before appointments.
    • Submit insurance claims accurately and follow up on outstanding, denied, or underpaid claims.
    • Prepare and submit pre-authorizations for treatment.
    • Submit appeals and corrected claims with necessary supporting documentation.
  • Billing and Collections:
    • Post insurance payments, patient payments, and adjustments to patient accounts.
    • Prepare and send patient statements for outstanding balances.
    • Manage the accounts receivable (AR) aging report to ensure timely collection.
    • Make collection calls and arrange payment schedules with patients.
  • Patient Communication:
    • Explain insurance coverage, limitations, and treatment estimates to patients.
    • Resolve billing inquiries and discrepancies.

Required Skills and Qualifications

  • Technical Proficiency: Knowledge of dental practice management software, dental billing codes, and terminology.
  • Communication: Strong verbal and written communication skills to interact with patients and insurance carriers effectively.
  • Analytical Skills: Ability to work with numbers, analyze financial data, and identify discrepancies in ledger balances.
  • Compliance: Strict adherence to HIPAA regulations and documentation protocols.
  • Experience: Often requires a high school diploma or GED, along with experience in clerical or medical billing roles
Posted 2026-06-13

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