School of Dentistry Patient Biller

We are seeking a Patient Biller III to join our team and support accurate and timely processing of inpatient and outpatient claims. This role requires expertise in billing guidelines, customer service, and appeals processes, as well as strong interpersonal and technical skills.

In this role, you will:

Accurately process inpatient and outpatient claims to third-party payers, adhering to all mandated billing guidelines.

• Ensure compliance with Timely Filing guidelines and maintain quality control for paper claims.
• Handle tracers, denials, and related correspondence, including initiating appeals and drafting appeal letters addressing coding issues.
• Utilize patient accounting systems to perform all required billing and account-related tasks.
• Provide exceptional customer service, addressing and resolving patient concerns in a professional manner.
• Manage a high volume of incoming customer service calls in a call-center environment.
• Support business office functions with general knowledge and expertise.
• Demonstrate proficiency in Microsoft Office and other programs as required by management.

We're seeking detail-oriented, self-directed professional with:

• Required minimum two years of recent medical billing experience in physicians' office or clinic with Medi-Cal, Medicare, Managed Care, and PPO insurances. Pathology and Dentistry billing experience highly preferred
• Detailed knowledge of medical terminology and its applications
• Skill in reading correspondence, charged documents, EOB's and all other insurance forms
• Knowledge of on-line registration procedures including payor data and financial classes
• Frequent use of computer, fax, copier, printer, calculator, telephone, other general office appliances
• Knowledge of MS Word and MS Excel software