Payment Posting Representative

Position Summary

The Payment Poster performs a variety of insurance billing, data entry, and general front office tasks and duties including, but not limited to generating and billing out claims, benefits eligibility verification, documenting diagnosis and production, tracing payments, assisting with patient dismissal, scheduling, and answering the telephone.

Responsibilities

Enter treatment diagnosis and production into the West Coast Dental System on a daily basis
Print and submit treatment authorizations requests on a daily basis
Bill out claims on a daily basis / Bill out supplemental claims on a daily basis (HMO)
Print HMO encounter forms daily and mail on a monthly basis
Prepare and submit specialty referrals on a daily basis
Process all notices of authorization received and call the patients (or send postcards) on a weekly basis
Call approved specialty patients to schedule appointments
Respond to all re-submission of turnaround documents from insurance companies, requesting additional information, such as x-rays, on a daily basis
Maintain accurate billing data, reporting/supporting documents, records, and reports
Work with dental staff members or other billing department staff on billing matters
Post explanations of benefits on insurance and Denti-Cal as soon as they are received in the office
Prepare or run an aging report of accounts that are over 30 days old and review outstanding Insurance and Denti­-Cal balances and follow up with collection calls
Trace all outstanding claims on a weekly basis
Answer patient questions concerning claims, insurance, HMOs, Denti-Cal, etc.
Follow-up with patients as needed through reminder phone calls, notices, and letters
Answer telephones and schedule appointments
Verify patient benefits eligibility
Collect patient payments, post payments on the West Coast Dental System, and print receipts
Assist the Office Manager, as requested, with printing, reviewing, and faxing collection report, day sheet, and summary report to the Support Center at closing each day
Assist the Office Manager with collections, reconciliation and deposit preparation at closing each day
Perform data entry and file patient charts as instructed
Attend and participate in staff meetings and team huddles
Comply with Federal and State legislation pertaining to all billing related matters
Maintain strict compliance with State, Federal, and other pertinent laws or regulations, (e.g., OSHA, WC, Dental Board, HIPPA, ADA, FEHA, DOL, HR policies and practices)

Other Duties and Requirements

Check-in/Check-out patients and prepare charts
Order all billing supplies as needed
Other duties as assigned by the Office Manager, Regional Manager, and/or Dentists

Knowledge, skills, and abilities

High School diploma or equivalent (GED) required
Dental billing experience (insurance, Denti-Cal, HMO) required
Bilingual: English & Spanish required (if the geographic location of the office does not require the applicant to be bilingual, applicants who only speak English may be considered)
Proficient with PC and outlook
Knowledge with NEA-Fast Attach and Dental Exchange
Strong written and verbal communication skills
Ability to work in a fast paced environment and able to multitask
Ability to organize insurance, HMO, Denti-Cal information, claims, encounters, tracers, etc.
Ability to maintain professional demeanor staff and patients

Work Schedule

The Payment Poster will be notified of the work schedule on a weekly, bi-weekly, or monthly basis. The Biller’s schedule is subject to change (daily/weekly hours may increase or decrease) according to the needs of the practice. Evening and weekend hours may be required. This position is paid on an hourly basis.