Billing Office Lead

Overview:

The Billing Office Lead is a key role in ensuring the financial and operational success of a dental clinic. This position combines expertise in credentialing and accounts receivable management to support the clinic’s revenue cycle while maintaining compliance with dental industry standards.

Responsibilities:

• Credentialing Duties:
• Manage provider credentialing and re-credentialing processes with various insurance carriers.
• Ensure all provider documentation is accurate, complete, and submitted timely to avoid service disruptions.
• Maintain a credentialing database to track the status of applications and re-credentialing deadlines.
• Serve as a liaison between the clinic, providers, and insurance companies to resolve credentialing issues.
• Regularly review and update provider profiles in practice management systems to ensure accuracy.
• Accounts Receivable Oversight:
• Monitor and manage patient accounts to ensure timely payment collection and follow-up on overdue balances.
• Collaborate with external revenue cycle management (RCM) to address insurance claim denials and discrepancies.
• Generate and analyze AR aging reports to identify trends and develop strategies for reducing outstanding balances.
• Communicate with patients to arrange payment plans as needed
• Maintain accurate records of all AR activities and ensure compliance with clinic policies.
• Administrative and RCM Support:
• Work closely with clinic staff and external revenue cycle management (RCM) partners to streamline workflows.
• Assist in gathering and verifying necessary documentation for insurance claims and credentialing applications.
• Monitor key performance indicators (KPIs) related to credentialing and AR processes.
• Participate in regular meetings to provide updates on AR performance, credentialing progress, and any operational challenges.
• Identify and implement innovative solutions to improve the efficiency and accuracy of credentialing and AR processes.

Qualifications:

• High School Diploma/GED Eqvlnt.
• Previous experience in credentialing, AR, or a related field in healthcare or dental practices.
• Understanding of dental billing, insurance processes, and accounts receivable management.
• Bilingual Spanish preferred
• Proficiency in dental practice management software.

• Strong organizational and time-management abilities.
• Excellent communication and interpersonal skills.
• High level of accuracy and attention to detail.
• Ability to handle multiple tasks and prioritize responsibilities effectively.

• Extensive time sitting and standing.
• Able to lift up to 5 lbs.
• This position requires compliance with Touro's Vaccine Mandate policy

Maximum Salary: USD $80,000.00/Yr.

Minimum Salary: USD $64,000.00/Yr.