Dental Billing and Financial Services Specialist

Howard Brown Health · United States

Howard Brown Health is a nationally recognized leader in LGBTQ+ health and wellness. Our commitment to inclusive and affirming care has made us a cornerstone of the Chicago community. At Howard Brown, we believe in providing holistic, patient-centered care that empowers individuals and enriches lives. Why Join Us?

• Be part of a mission-driven organization dedicated to health equity and social justice.
• Work in a supportive, inclusive, and culturally competent environment.
• Access to continuous learning opportunities and professional development.
• Comprehensive benefits package.
• Contribute to groundbreaking health initiatives and research.

• Employer-sponsored health, dental, and vision insurance with two PPO plans and an HMO plan.
• BCBS HMO, PPO, and PPO Select Plans
• BCBS Dental
• BCBS Vision

• 3-weeks paid vacation and 1-week of personal time
• 12 accrued sick days per year
• 10 paid holidays, including Juneteenth
• PTO Exchange allows employees to turn unused PTO into liquid assets
• 401k program with up to 5% employer match after 90 days
• Employer-paid basic life insurance valued at one times the annual salary
• Voluntary Life and AD&D, and Short-term and Long-term disability
• Pre-tax commuter and parking benefit account
• Flexible Spending Accounts for healthcare and dependent care
• Tuition Reimbursement and Student Loan Forgiveness Programs; NHSC & PSLF
• Employee Assistance Program with 5 employer-paid counseling sessions
• 50% off at Brown Elephant Resale Shops and discounts at local businesses

PRINCIPLE DUTIES AND ACCOUNTABILITIES

• Oversees lifecycle billing processes for the dental practice business unit.
• Reviews claims stopping for coding errors.
• Ensures accuracy and completeness of treatment codes and insurance details.
• Identifies and rectifies coding discrepancies to minimize errors in claim submissions.
• Reviews and clears edits for claim submission.
• Addresses any edits or rejections encountered during claim submission process.
• Resolves issues such as missing information or documentation to ensure smooth processing.
• Proactively works on follow-up of denied claims to determine reasons for denials.
• Communicates with insurance payors to clarify claim details, provide additional information, or appeal denials, as necessary.
• Implements corrective actions to optimize revenue and minimize financial losses for the dental practice.
• Monitors market place billing best practices in support of continuous process improvement efforts.
• Produces regular and ad hoc reports as requested.
• Other duties as assigned and/or required within scope of role.

MINIMUM QUALIFICATIONS

• High school diploma or GED equivalent required.
• Minimum two (2) years professional experience Experience in healthcare and/or clinical billing setting preferred.

KNOWLEDGE, SKILLS, ABILITIES (K/S/A)

• Functional and proficient knowledge of pre-authorization requirements and procedures
• Ability to proactively engage in ensuring smooth interactions and resolution of billing discrepancies
• Functional and proficient knowledge of various technologies including, but not limited to MS Suite and billing software platforms
• Ability to maintain confidential information
• Effective communication competencies including written, verbal and listening
• Strong problem solving acumen and the ability to engage for supervisory support when appropriate
• Ability to analyze denials, identify root causes such as coding errors or documentation deficiencies, and implement corrective measures to minimize future denials
• Ability to demonstrate an understanding and acceptance of equity, inclusion and diversity concepts, and that they are broader than just race, ethnicity, and gender
• Ability to work affirmatively with gay, lesbian, bisexual, transgender, queer (LGBTQ) and HIV positive patients

ADA SPECIFICATIONS

• Requires ability to speak audibly and listen actively.
• Requires ability to use computers, telephones and other office equipment.
• Requires ability to sit for extended periods of time.