Dental Biller and Account Auditor

The Dental Biller at Your Bronx Dentist is responsible for the accurate and timely filing of all dental insurance claims, payments, denials, and appeals. This position monitors patient accounts, collects and posts payments from insurance companies and provides information to patients as needed. The dental biller will be responsible for monthly dental claim reporting and will assist with dental prior authorizations as needed. DUTIES & RESPONSIBILITIES 1. Review coding to ensure the correct procedure codes and information is completed. 2. Follow up with dentists and dental staff as needed to ensure all patient visit documentation is completed before sending claims. 3. Process dental claims to appropriate primary, secondary, and/or tertiary insurance company according to insurance guidelines. 4. Accurate and timely review, reconcile, and post patient and insurance payments, both by EFT and check. 5. Daily electronic claims follow up and submission of all x-rays, periodontal charting or documentation requested from the insurance companies through FastAttach and Dentalxchange. 6. Resolve claim denials with insurance and resubmit as appropriate including any requested information. 7. File Appeals on all denied or outstanding claims. 8. Monitor the Accounts Receivable, which includes collecting any patient balances and assigning any accounts to the collection agency as needed. 9. Review patient accounts for accuracy and completeness before sending patient monthly statements. 10. Provide back-up assistance to Financial Counselor to send and receive insurance pre-authorizations and patient responsibility estimates. 11. Provide daily, monthly, or as needed dental reports as requested. 12. Assist in credentialing or recredentialing dental providers as needed. 13. Correct account set up errors (guarantor, demographics, insurances, etc.)