Job Title: Billing Supervisor – Dental
Job Summary: The Billing Supervisor (Dental) is responsible for overseeing the preparation of dental bills and invoices, the calculation of charges, and verification of patient insurance. This position oversees the submission of claim reports and filing procedures and responsible in ensuring that billing operations are performed are accurate and timely. The Billing Supervisor (Dental) works with the Director of Billing to evaluate billing processes and procedures and recommends process and system improvements. Monitors the dental revenue cycle and resolves issues.
The following are essential job accountabilities.
- Supervises and oversees the system-wide activities related to filing of dental claims to Medi-Cal and Expanded Access to Primary Care (EAPC), 3rd party payors, workers’ compensation, Children’s Health and Disability Program (CHDP-TP), Western Dental, Healthy Families Program).
- Responsible to ensuring that billing staff meet daily charge entry and submission of electronic and paper claims along with daily & monthly patient statements.
- Communicates re-occurring dental billing errors to Director of Billing through weekly and monthly report. Responsible for providing recommendations for solutions.
- Prepares monthly analysis and benchmark reports on provider and department billing performance.
- Works closely with dental management to ensure that issues and concerns are addressed quickly and works to coordinate training and tools to support this end.
- Ensures that dental billing staff provide feedback to dental practice staff on data and demographic corrections.
- Informs quality review (QR) personnel when additional training needs are identified that will assist billing and front office staff with issues related to clean claim submission, patient registration or other electronic process management (EPM) maintenance concerns.
- Responsible for interviewing, selecting, and development of dental billing staff. Provides coaching and counseling to staff to correct performance, attendance, or conduct issues. Resolves internal and interdepartmental issues as they occur within their area.
- Supervise and confirms that personnel know how to handle computer transactions, posting activities, and recall accounts. Ensures that staff know how to effectively communicate with patients guaranteeing timely payments on accounts.
- Adheres to regulatory guidelines for timely submission and reprocessing. Oversees the relationship between Omni and outside dental vendors.
- Reviews and analyzes health center level reports to ensure all scheduled services have charges updated within department guidelines. Ensure completion of charge slips needed for billing.
- Verifies the accuracy and timeliness of billing activities, problems and trends. Review dental coverage of insurance companies and other agencies.
- Works with support personnel to develop effective reporting and diagnostic tools.
- Identify and work with all departments to correct potential problems from all phases of the billing process. This includes scheduling, authorization and verification errors, registration, charge processing, incorrect coding, denials and follow up.
- Various other work-related duties as assigned by supervisor. These duties and responsibilities may be added, deleted, or changed at any time at the discretion of management, formally or informally either verbally or in writing.
- HIPAA compliance – Responsible for enforcing compliance with all HIPAA regulations and requirements. Treats all member information confidential.
- Compliance – Ensure compliance with all local, state, and federal regulations.
- QA/QI – Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
- IT – Required to learn and use the Electronic Health Record and Practice Electronic System and its components as required by the job functions and highlighted in the Policies and Procedures.
- All employees will participate in Patient Centered Home Health Model at Omni Family Health.
- Ability to work under pressure and handle multiple functions.
- Knowledge of community based organizations.
- Ability to communicate with the providers and medical/dental providers and staff.
- Knowledge of CDT, CPT and ICD10 codes.
- Promotes and believes in OMNI mission statement.
- Ability to work proficiently and effectively within a timely manner.
- Knowledge of account receivable processes, payer codes, and other bookkeeping functions.
- Basic knowledge of ICD-A/CPT codes.
- Knowledge of dental terminology and billing practices.
- Ability to operate computers, Microsoft operating system and provide direction to staff as needed.
- Must be able to take responsibility and work under pressure.
Qualifications, Education, and Experience
- High school graduate or equivalent required.
- Three (3) years of Dental billing and accounts receivable experience.
- Two (2) years of Supervisor experience recommended, 5 years of dental billing experience in lieu of supervisory experience.
Responsible To: Director of Billing
Classification: Full Time Position