Dental Front Office/Manager Job Posting

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All Job Postings > Texas > San Antonio TX > Dental Front Office/Manager > Dental Front Office/Manager Job (ID: 345437)
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Dental Front Office/Manager Job in San Antonio, TX 78216
(Job ID: 345437)



San Antonio, TX 78216



Sep 12, 2021




Mon, Tue, Wed, Thur, Fri


#345437 ACTIVE


This role is responsible for credentialing specialist, preparing, reviewing, and transmitting electronic and paper claims using billing software, in a controlled production and quality environment. Required Skills • Knowledge/Skills/Abilities – Dental o Maintain compliance with all regulatory and accrediting institutions o Monitor staff credentials and licenses o Advise staff on renewal procedures o Participate in the development of internal credentialing processes o Keep records in licenses, credentials and insurance contracts o Release information to agencies and members of the public as required by law o Competent use of computer systems, software, and 10 key calculators o Familiarity with HIPAA privacy requirements for patient information. Maintains and protects confidential information. o Knowledge of medical terminology likely to be encountered in medical claims. o Ability to look up ICD10 diagnosis and CPT treatment codes from online service or using traditional coding references o Work claims clearinghouse reports for assigned facilities o Edit Failures, Coding Updates, answer facility and departmental emails o Assist with special projects as needed and other duties as assigned in accordance with priority o Good verbal and written communication skills. o Ability to work well in a team environment o Liaison between point of contact at office and MDFC. o Sends the verifications needed to Verification department, responsible for overflow of verification if needed. o Follow up on claims within 4-5 days to get claim number for status sheet, and verify received. o Once Claim is finalized, make sure we received maximum reimbursement. o Follow the inhouse workflow system to get tasks sent to correct departments. o Send offices weekly status updates on Fridays. o Answer calls and emails from offices within 24 hours of receiving them. Medical Biller, Data entry skills, ability to analyzing information, time management, organization, professionalism and attention to detail all key competencies in this role Your Job Requirements: • High School Diploma, Preferably: 2-4 years of post-High School Training. • PREFERRED CERTIFICATION WITH NAMSS • CAQH Experience • Previous health plan experience required. • Knowledge of medical terminology and coding. • Excellent computer skills in Excel and Word. • High level of attention to detail. • Excellent organizational skills and communication skills. • Requires at least one year of experience work experience. • Ability to work quickly and accurately on an independent basis with great attention to detail, and displaying initiative to quickly identify and resolve variances and discrepancies. • Strong problem solver and skilled in conflict resolution. • Strong computer literacy. • Recent experience verifying eligibility and requesting/obtaining authorizations, preferably in a high-volume environment is highly preferred. • Ability to distinguish between primary and secondary payers and identify insurance products • Experience with HMOs, PPOs, IPAs, POSs, EPOs, Medicare, Medi-Cal and solid understanding of each • Strong computer skills including EMR experience. • Excellent verbal and written communication skills. • Self motivated with a strong work-ethic, solid interpersonal skills and excellent organization and prioritization skills. Works well in a team environment. Be engaged and eager to build a winning team