DENTAL ACCOUNT RECEIVABLE

Main Responsibilties: 

• Resolve discrepancies in insurance payments, including identifying hidden splits and applying appropriate adjustments.
• Review and interpret EOBs (Explanation of Benefits) to ensure proper payment processing.
• Track patient balances, including copayments, deductibles, and co-insurance.
• Verify that insurance payments align with patient contracts and benefits.
• Handle patient inquiries and concerns regarding account balances or billing discrepancies in a courteous, empathetic, and professional manner.
• Review, post, and follow up with the Community Outreach Team on incoming payments and invoices, ensuring proper procedures are followed.
• Respond promptly to patient and staff inquiries related to accounts receivable.
• Regularly review patient accounts to identify overdue balances and aging accounts.
• Generate and analyze AR aging reports, highlighting trends in outstanding balances, patient payment behaviors, and insurance claims.

Minimum Qualification:

• At least 1–2 years of experience in dental billing, accounts receivable, or related roles.
• Strong understanding of dental insurance and payments.
• Strong understanding of Explanation of Benefits (EOBs), including hidden splits, payment allocation, and resolving discrepancies.
• Excellent customer service skills and the ability to de-escalate situations.
• Highly motivated, self-starter with the ability to work independently and as part of a team.
• Strong organizational skills with accuracy and attention to detail.
• Excellent communication, research, problem-solving, time management, and multitasking skills.
• Solid understanding of basic bookkeeping and accounts payable/receivable principles.
• Proven ability to calculate, post, and manage accounting figures and financial records.
• Familiarity with dental insurance plans and procedures, including Medi-Cal Dental, PPO, and DHMO.
• Quick learner and team player.