Job Description
About the Job We are hiring detail-oriented professionals to manage end-to-end revenue cycle management (RCM) for our growing network of dental and medical practices across the United States. This role offers a unique opportunity to launch a career in healthcare billing without prior experience-we provide comprehensive training, all required compliance certifications, and ongoing support.
As a Dental and Medical Biller, you will be the financial backbone of multiple healthcare practices, managing insurance claims, patient billing, eligibility verification, and appointment coordination. You will work directly with practice teams to ensure accurate, timely claim submissions and maximum revenue recovery.
Key Responsibilities: Claims Processing & Insurance Management:
- Submit dental and medical insurance claims daily through secure clearinghouses.
- Post insurance payments and process Explanations of Benefits (EOBs).
- Process claim denials and initiate appeals with insurance companies.
- Manage aging reports to ensure no claims miss timely filing deadlines.
- Maintain accurate patient ledgers and reconciliation records.
Eligibility Verification & Pre-Authorization: - Verify patient insurance eligibility 48-72 hours before scheduled appointments.
- Confirm coverage details including deductibles, copays, and network status.
- Obtain required pre-authorizations and referrals before service delivery.
- Communicate eligibility findings to practice teams to prevent service delays.
Patient Billing & Communication: - Generate and send accurate patient statements and invoices.
- Collect patient payments and process payment plans.
- Respond to patient billing inquiries with clarity and professionalism.
- Follow up on outstanding balances with sensitivity and tact.
Appointment Scheduling Support: - Coordinate scheduling logistics and confirm patient appointments.
- Ensure all patient demographic and insurance information is accurate.
- Communicate appointment details and any pre-visit requirements.
- Reduce no-shows through proactive patient reminders.
Multi-Client Management: - Manage billing workflows for multiple dental and medical practices simultaneously.
- Maintain organized tracking systems for each client's unique billing requirements.
- Meet individual client deadlines and reporting standards.
- Communicate proactively with practice teams about account status and action items.
Compliance & Documentation: - Follow HIPAA regulations for all patient health information handling.
- Maintain secure, confidential records and communications.
- Adhere to Business Associate Agreement (BAA) requirements.
- Complete all required compliance training and certifications.
- Document all work accurately for audit and quality assurance purposes.
What We Provide: Complete, Free Training Program:
- Comprehensive onboarding in medical and dental billing fundamentals.
- Revenue cycle management system training.
- Hands-on practice management software instruction.
- Real-world scenario training and mentorship.
All Certifications & Compliance Tools Included: - HIPAA compliance certification and ongoing training.
- Business Associate Agreement (BAA) compliance training.
- Access to secure, HIPAA-compliant billing platforms.
- Annual compliance refresher training at no cost.
Required Software Access: - Secure claims submission through established clearinghouses.
- Practice management software access for claims, payments, and patient records.
- Eligibility verification tools and payer portals.
- All software training included.
Career Support & Growth: - Dedicated training specialist and ongoing mentorship.
- Clear career advancement pathways
- Professional development resources.
- Opportunity to specialize in dental or medical billing (or both).
Qualifications: Required (No Experience Necessary):
- High school diploma or equivalent (GED).
- Strong attention to detail and accuracy in data entry.
- Ability to multitask and manage multiple clients simultaneously.
- Reliable internet connection and quiet workspace for remote work.
- Excellent written and verbal communication skills.
- Comfortable learning new software systems quickly.
- Professional phone and email communication skills.
- Willingness to complete HIPAA and compliance training.
- Ability to meet deadlines consistently.
Preferred (Not Required, We Can Train): - Any exposure to healthcare, medical terminology, or billing software.
- Experience with insurance claim processing or customer service.
- Knowledge of dental or medical billing codes (CPT, CDT, HCPCS).
- Familiarity with practice management systems.
- Experience managing multiple client accounts.
Work Environment: - Remote Position : Work from home with flexible scheduling options.
- Schedule : Standard business hours (Monday-Friday, 8:00 AM - 5:00 PM, flexible arrangements available).
- Tools Required : Computer, internet, phone, and headset.
- System Requirements : Windows or Mac computer, minimum internet speed 10 Mbps, secure WiFi or wired connection.
About the Company Overview of Your Smile PartnerYour Smile Partner is a premium teledentistry clinic based in New York, specializing in providing comprehensive dental care through innovative telehealth solutions. Our clinic focuses on delivering exceptional services before and after dental procedures, ensuring that our patients receive the highest quality care without the need for in-person visits.Services OfferedPre-Consultation Services:Our team conducts thorough initial consultations to assess patients' dental needs. This includes discussing medical history, current dental issues, and any concerns regarding treatment options.Utilizing advanced telehealth technology, we provide a convenient platform for patients to connect with our dental professionals from the comfort of their homes.Post-Consultation Services:After dental procedures, we prioritize follow-up consultations to monitor recovery and address any questions or concerns that may arise.Our commitment to patient care continues as we guide individuals through their post-treatment journey, ensuring a smooth recovery process.Orthodontic Consultations:We offer specialized consultations for orthodontic treatments. Our experts evaluate patients' needs and recommend personalized treatment plans, which can include braces or aligners.Through virtual consultations, we aim to make orthodontic care accessible and convenient for everyone.Sleep Apnea Consultations:Understanding the importance of sleep health, we provide consultations for patients experiencing sleep apnea. Our team assesses symptoms and offers tailored solutions that can improve sleep quality.We work with patients to explore treatment options, all while ensuring a seamless telehealth experience.
Job Tags
Remote work, Monday to Friday, Flexible hours