Billing Specialist (Dental)

Description

About Jordan Valley Health:

Jordan Valley Health (JVH) is a mission-driven organization dedicated to improving the health of individuals and families in underserved communities. We provide comprehensive healthcare services including primary medical, dental, vision, and behavioral health. Our mission is simple: Improve our community’s health through access and relationships. By working collaboratively with partners and continually innovating, JVH strives to be a leader in providing essential healthcare for the underserved, ensuring everyone in our community has access to quality healthcare.

Job Summary:

The Billing Specialist is responsible for providing thorough and accurate collection of patient accounts. The Billing Specialist also aims to provide support for various departments as needed in the attainment of stated goals. In addition, the Billing Specialist will represent the clinic in all initial patient and insurance inquiries dealing with Patient Financial Services issues.

Key Responsibilities:

• Assesses, tracks, and collects on patient account balances.
• Assist in verifying eligibility for Federally Funded Slide Fee Scale.
• Performs insurance and billing functions include verifying patient account information to insurance program specifications.
• Resolve routine patient billing inquiries and problems; follow up on balances due from payers.
• Ability to understand CDT coding.
• Electronic billing function, process charges, payments denials and adjustments.
• Performs insurance denial resolution.
• Monitors self-pay accounts, assesses need for internal collection action.
• Monitors collection letter process and sets up acceptable payment plans with patients.
• Researches old balances and works with patient account representatives to assist patients in accurate and satisfactory recovery of insurance benefits.
• Send weekly private balance statement/collection letters.
• Adjust accordingly for documented bankruptcies and NSF check issues.
• Responsible for maintaining and running the recurring credit card payments.

Benefits Overview:

• Medical and Prescription Drug Coverage: Three comprehensive plan options (Buy-up, Base, and High Deductible) through UnitedHealthcare's Choice Plus network, covering various deductibles and out-of-pocket limits. Includes access to telemedicine services via Teladoc.
• Health Savings Account (HSA): Available for employees in the High Deductible Plan with employer contributions and tax advantages.
• Flexible Spending Account (FSA): Options for both healthcare and dependent care FSAs, allowing pre-tax contributions for qualified expenses.
• Dental and Vision Coverage: Dental insurance through Cigna’s DPPO network and vision coverage through EyeMed’s Insight network.
• Retirement Plan: Pre-tax and Roth 403(b) retirement plans with a 5% employer match starting after 30 days of employment.
• Life and Disability Insurance: Basic Life and AD&D insurance provided at no cost, with the option to purchase additional coverage. Long-term and short-term disability insurance are also available.
• Employee Assistance Program (EAP): Free confidential support for personal and professional challenges, including counseling and crisis intervention.
• Additional Voluntary Benefits: Options for critical illness, accident, hospital care, and pet insurance through MetLife.
• Pay on Demand Available

Holidays:

• Nine paid holidays per year.

Health Requirements:

All employees are required to provide proof of vaccination for Flu, Hepatitis B and Tuberculosis (TB) as part of our commitment to maintaining a safe and healthy workplace.

Application Process:

Interested applicants should submit a resume and cover letter through the JVH career portal at Careers & Education - Jordan Valley. Applications will be accepted on a rolling basis until the position is filled.

Jordan Valley Health is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.

Requirements

Preferred Qualifications:

• High school diploma or GED.
• Two years medical office reimbursement experience.
• ASC experience.
• Knowledge of reimbursement practices.
• Knowledge of CDT coding.