Metro Community Health Center · 7 hours ago
Dental Biller
Pittsburgh, PA
Full-time
Onsite
New Grad, Entry LevelMetro Community Health Center is seeking a Dental Biller to manage daily billing operations and ensure accuracy in claims submission. The role involves training staff, resolving billing issues, and maintaining communication with management regarding billing practices and improvements.
Health CareMedicalMental HealthNon Profit
Responsibilities
Responsible for daily billing operations to ensure maximum productivity, accuracy of claims submission and third party follow up through automated work queues while assisting with resolution of disputed claims
Maintains a good working knowledge of the specific billing requirements for all payers for FQHC
Including assigning appropriate DPT-4 codes and appropriate ICD- 10-CM diagnosis codes selecting the codes that accurately describe the condition for which the service or procedure was performed
Provides ongoing training and development of staff as required to ensure payor requirements are met
Review claims editing reports for consistent errors and follow up with the management for improvement in quality and performance
Analyze and trend billing issues related to A/R, i.e., Specialty, Payer, Provider, etc. for efficiencies while taking proactive approach to resolve A/R issues prior to escalation
Engage in open communication with management regarding information system, third party payor, and regulatory updates and/or enhancements
Contacts patients to obtain, verify, and update account information when necessary
Work with the payors and subscribers to resolve issues and facilitate prompt payment of claims
Develop and analyze reports that will monitor claim edit trends
Ability to work independently, with minimal supervision. Must be very reliable and punctual as attendance is important for this position
Participate in review and evaluation of claim denials to ensure appropriate reimbursement
Participate in assessing claim edits to enhance the billing system functionality and identify user training and development needs
Process monthly patient statements and answer patient inquiries in regard to those statements
Generate patient service invoices in a timely manner
Being familiar with the responsibilities of Patient Access and willing to perform such duties on a daily basis up to but not limited to answering patient calls, scheduling, insurance verification and prior authorizations
The list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities that management may deem necessary from time to time
Qualification
Required
High school graduate or equivalent
Must be knowledgeable of medical and dental terminology
Must be knowledgeable of electronic and manual claims processing
Must be knowledgeable of third-party payor billing guidelines and reimbursement practices for primary care centers
Must be able to establish priorities
Must be able to effectively problem solve
Must use good judgment and decision making in day-to-day billing operations
Must be able to work independently
Must have ability to communicate well both orally and in writing
Requires prior working experience on personal computers and various office equipment
Preferred
bachelor's degree
Benefits
MCHC pays 100% of the employee premium for UPMC Medical, United Concordia dental, STD, LTD
Life insurance ($100,000)
VBA vision coverage is offered as voluntary coverage that paid for by the employee
Medical and Dependent Care FSA and HRA
2 weeks of paid parental leave
20 days (4 weeks) of PTO for your 1st two years
12 paid holidays
401k with a 4% match
Competitive Wages
Company
Metro Community Health Center
Metro Community Health Center is a non-profit organization that offers medical, mental health, dental clinics, and supportive services.
Founded in 1999
11-50 employees
Funding
Current Stage
Early StageLeadership Team
Michael Parker
Chief Operations Officer
Company data provided by crunchbase