Billing Dental Front Office Job in dayton, Texas

(Job ID: 509447)

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Description

All Star Kids Family Dental Billing Coordinator Job Description- Purpose: To ensure that all money, coming and going from the practice, is accurate and accounted for. To post charges and payments daily. To bill out insurance after each visit to ensure maximum benefit for the patient. To maintain appropriate levels of all aging reports and follow-up with all accounts on a consistent basis. Dream Billing Coordinator: Accurate and consistent with all accounting. You are the person that is responsible for keeping the practice running with consistent cash flow, while also helping patients understand their bills and financial obligations. You will walk a fine line but you are always to be courteous, helpful, and professional treating our patients with incredible VIP service. Our ideal biller: Friendly Customer service to the extreme Excellent follow through with reporting and accounts Thorough Timely with all accounts Honest Compassionate Organized Team player We expect our billing coordinator to follow our core values that are: TEAMWORK RESPECTFUL COMPASSIONATE Billing Coordinator Protocol Morning Arrival ● Review prior day’s: o Unsent claims o Claims without attachments o Procedures not billed to insurance o Claims that did not process o Patient payments/unpaid balances Daily Duties ● Scan EOBs ● Enter all checks and payments received in mail daily ● Review schedule two days out for: o Patients needing insurance updated o Frequencies on insurance plans o Patients that will be out-of-network or special cases ● Send out secondary claims as needed End of Day ● Submit all insurance claims ● Review schedule to ensure all procedures were billed out correctly and posted to correct provider ● Balance out the day ● Run End of Day reporting o Daysheet with all procedures billed out properly o Deposit Slip o Adjustment and refunds all accounted for and reported to doctor ● Morning huddle prep with patient alerts ready for next day and given to check in coordinator Weekly ● Every Tuesday- Patient Aging Report ● Every Thursday- Insurance Aging Report ● Report numbers for: (Excel Spreadsheet Attached) o Outstanding Claims (Unpaid Claims Report) o Claims unsent (left as batched. Not attached) o Outstanding/ Unpaid amount that is sent to appeals o Patient A/R (Aging Report) ▪ Current ▪ 30 Days ▪ 60 Days ▪ 90 Days ▪ Total Outstanding $_______ o Insurance - A/R (Aging Report)- Called on or appealed ▪ Current ▪ 30 Days ▪ 60 Days ▪ 90 Days ▪ Total Outstanding $_______ o Insurance sent this week: ▪ Number of appeals sent ▪ Number of claims sent (total) ▪ Number of pre-determinations sent (total) o Total adjusted production and collections for the week o Projected production and collection totals for month o Insurance AR numbers at the beginning of the week and at the end of the week o Patient Aging numbers at the beginning of the week and at the end of the week o Outstanding Credits numbers at the beginning of the week and at the end of the week o Weekly Adjustments (not including insurance) o Production by provider ● Ensure that the deposit record matches the payment received amount ● Ensure office is at 95-98% collection percentage alway Monthly ● Statements sent and calling on balances ● Collection calls ● Notifies patients whose insurance company has not paid in 45 days so that they can begin to pay per their agreement. ● Upon approval of the doctor, the patient's balance on a 90-day and older delinquency will be adjusted off the account as a bad debt and entered onto the 'collection ledger' o If a payment is received on an account that was previously adjusted off, then enter the payment and an offsetting equal charge to the patient's account. o Bad debt accounts should also be labeled as such on the front of the patient's chart or with a flag on the paperless chart ● Review all accounts with credits and refunds needed o Submit report to DR for direction Yearly ● Update fee schedules in January of each year ● Credentialing ● Negotiate fee schedules