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Job Description
- Req#: 33279
Employer Industry: Dental Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within a national organization
- Supportive and collaborative work environment with cross-functional partnerships
- Chance to make a significant impact on billing accuracy and reimbursement integrity
- Work with advanced dental management software, enhancing technical skills
- Competitive salary based on experience
What to Expect (Job Responsibilities):
- Build, update, and assign high-volume fee schedules in Denticon by payer, provider, plan, and location
- Investigate and resolve fee discrepancies, plan mismatches, and underpayments using EOBs and claims data
- Manage and resolve plan and fee support tickets from dental offices and internal teams
- Communicate with carriers and network administrators to obtain and validate fee schedules
- Analyze trends in denials, underpayments, and payer inconsistencies and recommend improvements
What is Required (Qualifications):
- 7+ years of experience in dental billing, payer operations, or fee schedule administration
- Strong knowledge of leased networks, PPO contracts, plan types, and UCR methodologies
- Proficiency in Microsoft Excel (pivot tables, VLOOKUP, data validation)
- Hands-on experience with DentalXChange, Denticon, and Cloud 9 required
- Highly analytical, detail-oriented, and organized
How to Stand Out (Preferred Qualifications):
- Experience working in a DSO or multi-practice dental organization preferred
- Strong communicator able to translate complex payer data into clear action
#DentalServices #BillingSpecialist #CareerOpportunity #DataAnalysis #HealthcareManagement
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