MINIMAL QUALIFICATIONS:
The Dental Biller must have a high school diploma or GED and at least two years of experience in dental billing, preferably within a Federally Qualified Health Center (FQHC) setting. Proficiency in Dentrix dental software is required. Familiarity with Medicaid, Medicare, and commercial dental insurance plans is essential. The qualified individual should meet minimum competencies and skill sets established by EXCELth, Inc., and monitored by the Dental Director and Revenue Cycle Manager.

GENERAL DESCRIPTION:
The Dental Biller is responsible for ensuring accurate and timely billing of dental services provided at EXCELth clinics. This role requires strong knowledge of dental coding, insurance verification, claims submission, and payment posting. The Dental Biller will work closely with dental providers, front desk staff, and the revenue cycle team to optimize reimbursement and maintain compliance with billing regulations. Attention to detail, confidentiality, and a commitment to patient-centered service are essential.

DENTAL BILLER TOP SKILLS AND PROFICIENCIES:

* Dentrix Software Expertise

* Dental Coding (CDT) and Billing

* Insurance Verification and Authorization

* Medicaid and Medicare Billing

* Claims Submission and Follow-Up

* Payment Posting and Reconciliation

* EMR and EHR Documentation

* HIPAA Compliance

* Problem Solving and Analytical Skills

* Communication and Customer Service

* Time Management and Organization

* Team Collaboration and Dependability

DUTIES AND RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO:

* Review and submit dental claims using Dentrix and EMR systems.
*Verify patient insurance eligibility and benefits prior to appointments.

* Ensure accurate coding of dental procedures using CDT codes.

* Follow up on unpaid or denied claims and resolve billing discrepancies.

* Post payments and adjustments to patient accounts in Dentrix.

* Communicate with insurance companies to resolve claim issues.

* Assist patients with billing inquiries and provide clear explanations of charges.

* Maintain up-to-date knowledge of insurance policies and billing regulations.

* Collaborate with front desk and clinical staff to ensure accurate documentation.

* Generate and review billing reports for accuracy and completeness.

* Support dental providers with coding and documentation best practices.

* Participate in internal audits and quality improvement initiatives.

* Maintain confidentiality of patient records and financial information.

* Travel to other EXCELth clinic locations as needed.

* Accept supervision and feedback from the Dental Director and Revenue Cycle Manager.

* Participate in continuing education and training opportunities.

* Support and uphold the mission and vision of EXCELth, Inc.

* Assist in documentation of incidents and participate in safety drills and meetings.

* Launch and assist with digital health tools and tablets when applicable.