Dental Billing & Claims Posting at Forge Specialty Partners LLC – Ladson, South Carolina

Provides support for a multi-surgeon office, for all locations, to ensure timely processing of all claims, posting of insurance payments, working unpaid claims and accounts receivable. This position interacts with insurance companies and patients.

Essential Job Functions/Duties:

• Review daily schedule for corrections and set up claims accordingly for submission
• Post Insurance and patient payments
• Work unpaid claims and accounts receivable
• Appeal to insurance on behalf of the patient
• Respond to insurance company requests for additional information as needed in a timely manner
• Answers telephone calls from patients and insurance companies regarding accounts
• Utilizes appropriate telephonic etiquette when speaking to patients and insurance companies
• Utilizes appropriate email etiquette, both, internally and externally
• Enters patient insurance demographics into practice software and corrects inaccurate information, as needed
• Maintains full compliance with HIPAA and OSHA guidelines
• Has a full understanding and knowledge of multiple insurance agencies and the benefits provided. Understands how to read an explanation of benefits.
• Adheres to all current and new procedures and policies
• Maintain, management determined, accuracy rating during account audits
• Helps to ensure the cleanliness of the Contact Center
• All other duties as assigned by management

• High School diploma or graduation equivalency degree (GED) and a certificate
• Prior Dental and/or Medical Billing experience preferred
• Experience with claims posting and insurance appeals process
• Basic understanding of dental and medical insurance benefits and terms/definitions
• Must understand the key components of appropriate patient oriented customer service
• Quick to take on new information
• Self starter who requires minimal supervision
• Ability to utilize office software
• Microsoft skills to include: Excel, Word, Outlook and PowerPoint