Dental Billing Clerk

Key Responsibilities: Medi-Cal (Denti-Cal) Billing – Primary Focus:- Prepare, review, and submit dental claims in accordance with Denti-Cal/Medi-Cal guidelines.- Ensure proper use of CDT codes, modifiers, and treatment authorizations (TARs).- Verify eligibility and benefits prior to claim submission.- Monitor claim status and resolve denials, including documentation and X-ray requirements. EHR Review & Documentation Validation: - Review patient charts to ensure billed procedures are supported by documentation.- Verify required X-rays (bitewings, periapical, panoramic) are present and compliant.- Confirm procedure notes, tooth numbers, surfaces, and clinical justification.- Coordinate corrections with providers prior to submission. Commercial Billing:- Submit claims to commercial carriers and manage coordination of benefits.- Post payments and identify denial trends. Accounts Receivable: - Work A/R reports and follow up on unpaid claims.- Correct and resubmit claims as needed. Compliance:- Maintain compliance with HRSA, CMS, DHCS, and HIPAA requirements.- Support audits and ensure documentation integrity. Collaboration:- Communicate with providers and staff regarding documentation issues.- Assist with training and workflow improvements.

Desired Qualifications:

o High School Graduate and/or billing certificate

o Type 35-45 wpm & Computer skills

o Customer services experience

o Bilingual Spanish preferred

o Strong organizational skills

Must be a team player

Benefits:

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
• $ 21 per hr

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Ability to commute/relocate:

• Atwater, CA 95301: Reliably commute or planning to relocate before starting work (Required)

Work Location: In person