Billing Manager - Dental Office

A Smile 4 U • Full-time • Alpharetta, Georgia, United States • $54.18k - $81.72k / year • 3m ago

Insurance Billing Manager - Blue Monster Management (Alpharetta, GA)

Blue Monster Management / A Smile 4U is privately owned Dentistry group with locations in Decatur, East Point, Dalton and Hiram. Utilizing the highest quality, state-of-the-art equipment and scheduling technology, we offer multiple specialties under one roof including general dentistry, sedation dentistry, and oral surgery. Additionally, we provide services to both pediatric and adult populations and are dedicated to providing a positive and memorable patient experience for all ages.

We are seeking a detail-oriented and experienced Dental Insurance Billing Manager to oversee and manage all aspects of insurance billing and collections within our six dental practices. This role is crucial in ensuring accurate claims processing, timely reimbursement, and maintaining a strong revenue cycle.

Key Responsibilities:

Insurance BillingClaims:
- Submit accurate dental insurance claims (electronic and paper) in a timely manner. (GA Medicaid/CMO/PPO claims)
- Verify insurance coverage and benefits for patients prior to appointments.
- Follow up on unpaid claims, denials, and re-submissions.

- Post insurance payments and adjustments accurately.
Patient Billing:
- Coordinate billing procedures with front desk and treatment coordinators.
- Generate and send patient statements.

- Communicate with patients regarding their insurance coverage and balances.
Revenue Cycle Management:
- Monitor A/R reports and follow up on outstanding insurance and patient balances.
- Maintain up-to-date knowledge of dental insurance regulations and coding practices (e.g., CDT codes).

- Analyze trends in claim denials and implement corrective action.
Team Management:
- Train front desk staff and supervise billing staff
- Collaborate with front office and clinical staff to ensure smooth billing workflows.

- Maintain open communication between departments regarding insurance updates and billing protocols.
ComplianceDocumentation:
- Ensure compliance with HIPAA and insurance billing regulations.
- Maintain accurate and organized records for audits and reporting purposes.

- Stay current on changes in dental insurance policies and industry best practices.

Qualifications:

Experience: Minimum 5 years in dental insurance billing required; management experience required. (GA Medicaid experience required)

Knowledge: Proficiency in dental billing software (Planet DDS Denticon experience is a plus)
Skills:
- Strong understanding of dental coding (CDT codes) and insurance processes.
- Excellent attention to detail and problem-solving skills.
- Strong communication and interpersonal skills.
- Ability to work independently and manage a team effectively.
- Billing management required

Benefits: