Job Description

Overview

Park DuValle Community Health Center is a 501c3 non-profit, federally qualified health center that has served the local community for over 50 years. Park DuValle Community Health Center strives to adhere to the highest quality standards of patient care, regardless of patients’ insurance status or ability to pay. Employees of Park DuValle Community Health Center, Inc. are deemed to be federal employees qualified for protection under the Federal Tort Claims Act (FTCA).

PDCHC offers primary care for adults and children, women's health, behavioral health services, dental, WIC and Nutrition, insurance enrollment, lab, pharmacy and radiology services, transportation, exercise classes, and other enabling services. 

We are an Equal Opportunity Employer and do not discriminate against any qualified employee or applicant for employment because of race, color, sex, age, national origin, ancestry, religious creed, sexual orientation, gender identity and/or expression, status as a veteran, mental or physical disability or any other federal, state, or local protected class.

Job Skills / Requirements

Experienced Dental Biller/Accounts Receivable 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 Dental Registration Clerk with dental prior authorizations as needed.

*This is NOT a remote position * Must be available to work from office Monday - Friday*

Primary Position Responsibilities:

• Review coding to ensure the correct procedure codes and information is completed.
• Follow up with dentists and dental staff as needed 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.).
• Employee Safety: Safely performs all duties; follows required protective protocols to ensure personal safety as well as the safety of others.
• Other duties as assigned by Supervisor.

Education Requirements (Any)

1(+) Year of Billing Experience
Knowledge of Dental Terminology
High school graduate or Equivalent (GED) and completion of a medical coding certificate program

Additional Information / Benefits

Benefits: Medical Insurance, Life Insurance, Dental Insurance, Vision Insurance, Paid Holidays, Short Term Disability, Long Term Disability, 401K/403b Plan, PTO Accrual (Bi-weekly)