Medical Billing Specialist – Dental-to-Medical Billing
Posted 5 days ago
You'll complete your application on Resourceful Talent Group's career site.
About the Role
This role centers on managing the intersection of dental and medical insurance billing. You will operate remotely from the Philippines, focusing on verifying insurance for specific procedures like CT/CBCT scans, dental implants, and mandibular advancement devices. Your objective is to help dental offices secure medical insurance reimbursement by acting as a liaison with insurance carriers and ensuring clinical data is correctly prepared for medical billing formats. You will contribute to a professional team, focusing on high standards of regulatory compliance and data accuracy to enhance revenue cycle efficiency.
Requirements
- You must have a demonstrated background in US medical insurance billing and verification procedures.
- You are required to be proficient in ICD-10, CPT, and HCPCS coding systems.
- Experience with dental-to-medical billing is highly preferred, and you must possess strong written and verbal English communication abilities.
- Technical experience with software such as Dentrix is strongly desired.
- You should be a reliable, detail-oriented professional capable of managing tasks autonomously.
- You must be available to work during EST business hours to coordinate with providers based in the US.
Responsibilities
- You will confirm complex medical insurance coverage for specialized imaging and dental implants.
- You will interact with insurance providers to verify eligibility, confirm benefit details, and manage authorization needs.
- You will process insurance claims and utilize medical billing codes to ensure submissions are accurate and timely.
- You will coordinate with your billing team to address and resolve any discrepancies.
- You will keep records that are precise, thorough, and fully compliant with HIPAA regulations to protect patient privacy.
Benefits & Perks
- You will enjoy a fully remote work setup, enabling you to work from your home office.
- You will adhere to a stable schedule that is strictly synchronized with EST business hours.
Note: This listing is summarized and paraphrased by WorkNow from a publicly posted role. For the original wording and full details, please refer to the employer's official posting.
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