Billing Specialist

Job Type
Full-time
Description
Overview
Mosaic Dental Collective (MDC) is looking for a Billing Specialist to join our RCM team. An MDC Billing Specialist plays a crucial role in the administrative and financial operations of our dental practices. This position involves managing the billing process, insurance claims, and ensuring accurate and timely reimbursement for dental services provided to patients. The Dental Billing Specialist interacts with both patients and insurance companies, ensuring that financial transactions are accurately recorded and that the practice remains compliant with relevant regulations.
This position will report to the Regional Billing Supervisor, and with oversight from our Billing Lead. This role will be offered in a hybrid remote space, with the expectation of being on site one day a month. The wage range for this position is $24 - $30 per hour depending on experience.
What You'll Be Accountable For:
1. Insurance Claims Processing: Prepare and submit insurance claims for dental procedures to various insurance companies. This involves accurately coding procedures using CDT (Current Dental Terminology) codes and following specific insurance guidelines.
2. Billing: Generate Insurance Claims for services rendered, detailing procedures performed and including appropriate documentation. Ensure accuracy and clarity in billing records.
3. Resolving Rejections: Investigate and resolve any practice management software or clearinghouse rejections in relation to initial claim submission. Ensure accuracy with patient and insurance demographic information and all required documentation with the intention to maximize payor reimbursement.
4. Communication: Communicate with office billing contact, other departments and clinical teams regarding insurance policies and procedures. Read and relay information reported on explanations of benefits (EOBs) and assist in resolving billing discrepancies.
5. Documentation and Reporting: Maintain organized records of billing activities, insurance correspondence, and payment history. Generate reports related to billing and collections as needed.
6. Team Collaboration: Collaborate with dental office staff, including front desk personnel, dentists, and dental assistants, to ensure accurate documentation of procedures and proper billing practices.
7. Continuing Education: Stay informed about changes in dental billing codes, insurance policies, and billing regulations through ongoing training and professional development.
8.Other duties as needed.
AR Support
1.) Follow-up on Claims: Monitor the status of submitted claims, track payments, and follow up on outstanding claims that require additional information or resubmission.
2.) Appeals and Denials: Handle claim denials or rejections by analyzing the reasons for denial and resubmitting claims with necessary corrections or additional.
3.) Add Other duties as needed.
Your Work DNA:

• You thrive under pressure with grace and apparent ease. Your positivity and can-do attitude emanate from your being
• Your exceptional time management, follow through, and organizational skills has everyone asking how you manage everything so effortlessly.
• You are a proactive learner who is constantly looking to improve personally and professionally.
• You love to always be in the know and you aren't afraid to ask when you don't know.
• You thrive in a highly autonomous environment, and value collaboration (yes, both!)
• You effectively navigate ambiguity to uncover requirements, need, intent, to develop insights and create action plans
• Wicked sense of humor and strong team-orientation - adaptable, flexible, and able to work hybrid.
• Flexibility is your middle name whether you're working on a large recruiting project with multiple hires or handling an urgent project.
• You value the candidate experience and an inclusive process above all else during the recruiting process
• You are committed to building our employment brand and spreading the message. You embody Mosaic Dental Collective's Core Values.
• Other duties as needed.

Schedule:
flexible 8 hour days, hybrid remote, with one day per month on site in office (8:00a - 4:30p)
Requirements
Your Background:

• Minimum of 1-3 years experience within a Billing Specialist or Billing Coordinator role preferred.
• Minimum of 1 year hands on experience supporting AR functions within a Billing Specialist role preferred.
• High school diploma or equivalent; additional education in medical billing or related field is a plus.
• Knowledge of dental terminology, CDT codes, and dental insurance procedures.
• Proficiency in using dental practice management software and billing systems.
• Strong attention to detail and accuracy in data entry.
• Excellent communication skills for patient interactions and insurance correspondence.
• Problem-solving skills to address billing discrepancies and claim denials.
• Familiarity with insurance guidelines and regulations.
• Ability to work independently and as part of a team.
• Strong organizational skills to manage billing records and claims effectively.

Commitment to Equity, Diversity, and Inclusion (EDI)
Mosaic Dental Collective is committed to growing and celebrating our diverse, people-powered culture. We embrace and encourage the many varied, wonderful differences that our workforce embodies. Together we cultivate human connections that empower each of us to bring our authentic and unique selves to work every day. We expect that Mosaic Dental Collectives treat each other with respect, seek to understand our differences, and work to find commonalities, building up our Mosaic Dental Collective community as one team.
Work Environment
The position requires the ability to sit and work at a computer for extended periods of time and communicate effectively with a diverse audience in person, by phone and computer.
Mosaic Dental Collective participates in e-Verify; however, we adhere to state or federal laws & regulations regarding non-participation where applicable. Feel free to ask us about this if you have questions.
Mosaic Dental Collective is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, veteran status, or any other status protected by federal, state, or local laws. We support and encourage diversity!
Applicants must be authorized to work for any employer in the US. We are unable to sponsor or take over sponsorship of work visas at this time.
Location: Remote - MDC Corporate Headquarters - 16703 SE McGillivary Blvd, Vancouver, WA
Reports To: VP of RCM
Department: RCM
FLSA Status: Exempt
Note: This job description is intended to convey information essential to understanding the scope of the Regional Manager position. It is not exhaustive and may be subject to change or modification to meet the needs of MDC.
Salary Description
$24 - $30