Revenue Cycle Dental Biller (Anesthesia)

About the Company

Responsibilities

• ● Review, prepare, and submit claims for dental anesthesia services.
• ● Ensure claims are coded and billed accurately using applicable CPT, ICD-10, CDT, HCPCS, and modifier requirements.
• ● Monitor claim status and resolve claim edits, rejections, and clearinghouse issues.
• ● Identify and escalate issues that could impact timely claim submission or accuracy to the Revenue Cycle Manager promptly.
• ● Work claims through the revenue cycle from submission to final resolution.
• ● Maintain payer-specific billing requirements and submission guidelines.
• ● Accounts Receivable and Denial Management
• ● Perform follow-up on unpaid, denied, and underpaid claims.
• ● Investigate reimbursement discrepancies and payment variances.
• ● Collaborate with Operations, Credentialing, Contracting, and Revenue Cycle teams to address reimbursement challenges.
• ● Prepare and submit appeals, reconsiderations, and supporting documentation.
• ● Analyze Explanation of Benefits (EOBs) and remittance advice statements.
• ● Dental Billing and Reimbursement Expertise
• ● Serve as AAC's internal resource for dental anesthesia billing and reimbursement questions.
• ● Research payer policies related to dental anesthesia services, oral surgery procedures, sedation, and medical necessity requirements.
• ● Evaluate billing pathways involving commercial medical carriers, Medicaid programs, and dental administrators.
• ● Maintain expertise in dental and medical benefit coordination.

Requirements

• ● Technical Experience
• ● Minimum of 3 years' dental anesthesia experience, oral surgery, or medical billing experience with substantial dental exposure.
• ● High school diploma or equivalent required.
• ● Associate's degree in healthcare administration, business, or related field preferred.
• ● Working knowledge of CDT and CPT coding, including dental-to-medical cross-coding.
• ● Knowledge of dental and medical billing processes, payer requirements, and claims adjudication.
• ● Familiarity with anesthesia billing concepts, including base and time units, preferred.
• ● Coding or billing certification (CPC, CPB, CDC, or similar) preferred.
• ● General Skills & Knowledge
• ● Ability to manage multiple assignments, set priorities, and meet tight deadlines.
• ● Strong attention to detail and accuracy.
• ● Proficiency with Microsoft Office Suite (Outlook, Word, Excel).
• ● Comfortable using and navigating multiple systems including EMRs, dental practice management systems, and payer portals.
• ● Comfort working through evolving or inconsistent payer guidance across multiple states.
• ● Strong verbal and written communication skills.
• ● Competencies (Core Skills)
• ● Attention to Detail : Ensures accuracy in claims preparation and submission.
• ● Communication : Effectively interacts with payers, patients, dental practices, and internal teams.
• ● Working Hours : This position requires availability during CST operating hours, preferably 8 am ET - 4:30 pm CST. AAC will provide the selected candidate with a laptop and necessary IT supplies for secure remote work.
• ● Our Expectations : At AAC, our values include caring, integrity, adaptability, collaboration, and tenacity. We seek team members who not only excel in specific tasks but also demonstrate a commitment to doing their best every day. Join our team for an opportunity that goes beyond a typical job description. We expect you to bring your best to work each day, not just for yourself but for the success of the entire team. Ready to make a meaningful contribution Apply today and become a valued member of our team We look forward to meeting you