Position Summary
The Dental Biller/Coder is responsible for accurate coding, billing, and documentation to support quality patient care and timely reimbursement. This role works closely with providers, clinical staff, insurance companies, and the billing team to process medical, dental, and behavioral health claims while maintaining compliance with federal, state, and payer regulations.
Key Responsibilities
- Review, code, and submit dental, medical, and behavioral health claims accurately.
- Ensure documentation supports appropriate coding and reimbursement.
- Verify claim accuracy and resolve coding and billing discrepancies.
- Process claims for Medicare, Medicaid, commercial insurance, and other third-party payers.
- Monitor claim status, identify denials, and assist with appeals and claim corrections.
- Maintain compliance with coding guidelines, payer policies, and healthcare regulations.
- Assist providers and billing staff with coding questions and updates.
- Use EHR and billing software to maintain accurate patient records.
- Collaborate with the billing team to improve workflow, accuracy, and reimbursement.
- Perform other billing and administrative duties as assigned.
Requirements & Qualifications
Required Qualifications
- High school diploma or equivalent.
- 1-3 years of experience in healthcare billing and coding, preferably in a dental or ambulatory care setting.
- Knowledge of medical terminology, anatomy, and healthcare documentation.
- Experience with Medicare, Medicaid, and commercial insurance billing.
- Proficiency with EHR systems and medical billing software.
- Strong attention to detail, organizational skills, and problem-solving abilities.
- Excellent written and verbal communication skills.
- Ability to work independently while contributing to a collaborative team environment.
- Proficiency with Microsoft Office, including Word and Excel.
Preferred Qualifications
- Associate degree in Medical Coding, Health Information Management, or a related field.
- Medical coding certification such as CPC, CCS, or equivalent, or actively working toward certification.
- Experience in an FQHC, community health center, or multi-specialty practice.
- Knowledge of ambulatory care coding and billing guidelines.
Success Traits
- Strong analytical and mathematical skills.
- Ability to prioritize multiple tasks in a fast-paced healthcare environment.
- Sound judgment and attention to accuracy.
- Commitment to confidentiality and HIPAA compliance.
- Passion for serving patients and supporting community healthcare.
Location
Montana, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
2 weeks ago