The Dental Billing Specialist is responsible for billing, coding and modifier review, claims processing, payment posting and reconciliation, accounts receivable management, insurance follow-up, patient account resolution, payment plan administration, and related revenue cycle activities.
Pay Range 46,206.00 - 62,322.00 - 78,540.000
- Review charges within Charge Review and Modifier Review work queues to identify coding, modifier, documentation, or billing issues that may affect accurate claim submission and reimbursement.
- Research and correct claim, charge, coding, and modifier errors through review of clinical documentation, EHR records, payer responses, and account activity.
- Perform account and chart audits to verify coding accuracy, account balances, claim integrity, and supporting documentation before billing follow-up or correspondence is completed.
- Post and reconcile insurance and patient payments, electronic remittances, and paper explanation of benefits (EOBs).
- Establish, monitor, and maintain payment plans for eligible patients in accordance with MUSC and CDM policies.
- High school diploma and three years professional experience in a related area such as accounting, auditing, finance or commercial lending.
- Bachelor's degree with multiple accounting courses may be substituted for two years of the required work experience.
Registered NurseUnitedHealth Group · Remote, US