Billing Representative

Posted 4 Days Ago
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West Chester, PA, USA
In-Office
Entry level
Healthtech • Professional Services
The Role
Follows up on orthodontic claims from billing through resolution, correcting and resubmitting claims, processing refunds, posting and reconciling payments, reviewing denials and underpayments, and resolving accounts receivable inquiries. The role requires knowledge of healthcare and dental billing, insurance policies, reimbursement guidelines, revenue cycle processes, and denial codes, along with strong communication, organization, problem-solving, and computer skills.
Summary Generated by Built In
Overview

Are you ready to work in a practice where every child is treated with compassion, every family feels welcomed, and every visit is designed to create a positive dental experience.


At Chord Specialty Dental Partners, we believe that empathy, teamwork, and exceptional patient care are at the heart of everything we do. As a proud partner of Chord Specialty Dental Partners, you'll have the support, resources, and opportunities needed to thrive while helping us deliver outstanding care to the communities we serve.


How does this shape your job experience?


We combine our individuality and child-centered dental expertise to practice group dentistry to create healthy smiles and positive experiences that last a lifetime. By working together as one team, we provide compassionate, high-quality care tailored to the unique needs of every child and family.

Responsibilities

Job Summary: As a Billing Representative you will be responsible for following up on claims from billing through final resolution for our Orthodontic business line, including accurate and timely follow-up of unpaid claims, by assigned payer/s and defined aging criteria to meet or exceed collection targets and minimize write-offs.

Responsibilities:

  • Identifying and correcting billing errors and resubmitting claims to insurance carriers
  • Process patient refunds in a timely manner
  • Enter, post and reconciles payments to accounts
  • Providing review and remittance advice for payment errors, denials, and under payments
  • Research and resolve customer A/R issues and inquiries
  • Know the insurance companies we do and do not participate with and what offices patients can and cannot be seen at
  • Understand restrictions and dental policies at different insurance companies to explain to patients
Qualifications

What You’ll Need: 

  • High School Graduate/GED

Knowledge of basic accounts receivable and accounting principles

  • Healthcare (professional) billing, government, managed care and commercial insurances, claim submission requirements, reimbursement guidelines, and denial reason codes. Understanding of the revenue cycle and how the various components work together
  • Results oriented with a proven track record of accomplishing tasks
  • Excellent problem-solving skills and the ability to handle multiple tasks simultaneously
  • Ability to work independently and prioritize responsibilities daily in order to complete all assignments timely and accurately.
  • Computer literacy skills including proficiency in Microsoft Excel and Word
  • Ability to recognize roadblocks that may be causing slower reimbursement and work with management team to create solutions
  • Excellent written/verbal communication skills

Preferred, but not required

  • Technical School/2 Years College/Associates Degree
  • Dental billing/collections/insurance terminology preferred Strong organizational skills and attention to detail

#IND

Skills Required

  • High School diploma or GED
  • Knowledge of basic accounts receivable and accounting principles
  • Knowledge of healthcare billing, government, managed care, and commercial insurance requirements
  • Knowledge of claim submission requirements, reimbursement guidelines, denial reason codes, and revenue cycle processes
  • Results-oriented approach with a proven record of completing tasks
  • Excellent problem-solving skills and ability to manage multiple tasks
  • Ability to work independently and prioritize daily responsibilities
  • Computer literacy, including proficiency in Microsoft Excel and Word
  • Ability to identify reimbursement roadblocks and develop solutions with management
  • Excellent written and verbal communication skills
  • Technical school, two years of college, or an associate degree
  • Dental billing, collections, and insurance terminology experience
  • Strong organizational skills and attention to detail
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The Company
250 Employees
Year Founded: 2017

What We Do

Chord Specialty Dental Partners is a multi-specialty Dental Support Organization (DSO) that expands access to quality dental care for children and adults. It supports more than 60 partner practices across six states, providing business and operational services such as accounting, financial management, human resources, procurement, and business development. Its affiliated practices deliver pediatric dentistry, orthodontics, oral surgery, and ambulatory surgery services while focusing on patient-centered care.

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