Billing Specialist

Job Summary

The Billing Specialist is responsible for the practice's financial intake, striving for accuracy in every aspect of dental and medical billing.

Essential Functions/Responsibilities:

All shall be performed in accordance with OSHA, DEA, HIPAA, and NPOS guidelines and expectations.

• Working directly with the insurance company, NPOS Insurance Verification Coordinator, and patient to get a claim processed and paid
• Obtain all necessary patient demographic, insurance and financial information necessary for billing
• Coordinates the patient's insurance verification information, obtained by the NPOS Insurance Verification Coordinator, to produce and submit claims to insurance companies.
• Responsible for the preparation and explanation of treatment plan cost estimates to patients.
• Responsible for making financial arrangements with patients (I.e. self-pay, co-payments, deductibles)
• Evaluates patients' financial status and establishes budget payment plans only when absolutely necessary. This requires mandatory approval by the Business Manager.
• Assist patients with financial arrangements with financial institutions such as Care Credit, Medical Bureau, etc.
• Make arrangements with NPOS Patient Care Coordinators when it is necessary to collect fees from a patient seen in the office
• Accurate and complete data entry and coding, into the electronic patient record, of all patient information necessary to produce and submit claims to insurance companies
• Prepare and submit accurate and complete claims to various insurance companies
• Perform day-to-day financial transactions including: verifying, classifying, computing, posting and recording accounts receivable data, etc.
• Review and appeal unpaid and denied claims
• Resubmit claims of patient account balances to secondary insurance &/or third party payer
• Prepare, review and send patient billing statements
• Assist patients, staff and insurance companies with billing inquiries
• Assist and resolve patient billing issues/complaints by appropriate means
• Assist implant coordinator with compiling and presenting implant patient feeds
• Process payments and assist in the daily preparation of the bank deposit, under the supervision of the Business Manager
• Verify billing accounts with accounts receivable ledger to ensure that all payments are accounted for and properly posted
• Reviews unpaid/delinquent patient accounts, makes recommendations to the Business manager, prepares information for the collection agency when instructed.
• Facilitate swift payment of invoices due to NPOS by sending bill reminders and making collection calls on outstanding accounts
• May assist the Patient Care Coordinators with patient scheduling
• Maintain a working knowledge of the responsibilities involved in scheduling hospital cases in the event of the absence of the NPOS Hospital Coordinator
• Under the direction of the Business Manager, on occasion will be responsible for traveling to other NPOS office locations as staffing needs necessitate for the best interest of office function
• Participate in the orientation of employees to the duties of the billing specialist under the supervision of the Business Manager
• As needed, perform duties delegated by the Business Manager, &/or NPOS Doctors that contribute to the NPOS team effort in accomplishing related results for the best interest of office function