Dental Biller *Experienced*/ Accounts Receivable

Park Duvalle Community Health - Louisville, KY

Full-time - Entry Level

Onsite - Louisville, KY

1-10 employees

About the position

The Dental Biller/Accounts Receivable position at Park Duvalle Community Health is a full-time role focused on the accurate and timely filing of dental insurance claims, payments, denials, and appeals. The individual in this role will be responsible for monitoring patient accounts, collecting and posting payments from insurance companies, and providing necessary information to patients. This position requires a strong background in medical billing and accounts receivable follow-up across various payers, including commercial, Medicaid, and Medicare. The role is office-based, requiring availability from Monday to Friday, and is not remote. Key responsibilities include reviewing coding to ensure correct procedure codes are used, following up with dentists and dental staff to ensure all patient visit documentation is complete before claims are submitted, and processing dental claims to the appropriate insurance companies according to their guidelines. The Dental Biller will also be responsible for accurately reconciling and posting patient and insurance payments, managing daily electronic claims follow-up, and resolving claim denials by resubmitting claims with the necessary information. Additionally, the position involves monitoring accounts receivable, communicating with the Dental Registration Clerk regarding patient balances, and providing backup assistance for insurance pre-authorizations and patient responsibility estimates. The role also includes generating daily, monthly, or as-needed dental reports, correcting account setup errors, and ensuring compliance with employee safety protocols. The ideal candidate will maintain a high level of professionalism, demonstrate strong communication and interpersonal skills, and be ethical and team-oriented. Park Duvalle Community Health Center is a non-profit organization dedicated to providing high-quality patient care, regardless of insurance status or ability to pay, and has been serving the community for over 50 years.

Responsibilities

• Review coding to ensure the correct procedure codes and information is completed.
• Follow up with dentists and dental staff to ensure all patient visit documentation is completed before sending claims.
• Process dental claims to appropriate primary, secondary, and/or tertiary insurance company according to insurance guidelines.
• Accurate and timely review, reconcile, and post patient and insurance payments, both by EFT and check.
• Daily electronic claims follow up and submission of all x-rays, periodontal charting or documentation requested from the insurance companies.
• Resolve claim denials with insurance and resubmit as appropriate including any requested information.
• File Appeals as necessary on all denied or outstanding claims.
• Monitor the Accounts Receivable, which includes communicating with Dental Registration Clerk on collecting any patient balances and assigning any account holds as needed.
• Review patient accounts for accuracy and completeness before sending patient monthly statements.
• Provide back-up assistance to Dental Registration Clerk to send and receive insurance pre-authorizations and patient responsibility estimates.
• Provide daily, monthly, or as needed dental reports as requested.
• Correct account set up errors (guarantor, demographics, insurances, etc.).
• Safely perform all duties; follow required protective protocols to ensure personal safety as well as the safety of others.
• Other duties as assigned by Supervisor.

Requirements

• High school diploma or GED.
• Experience in medical billing and accounts receivable follow-up with all payers including commercial, Medicaid, and Medicare.
• Strong communication skills.
• Ability to work in a team-oriented environment.
• Problem-solving skills.