DentalxChange Billing Specialist

Smile Partners USA | Remote (Corporate Office in Troy, MI) | Full Time

Position Overview:
We�re looking for a detail-oriented, self-motivated DentalXChange Billing Specialist to manage and resolve dental claims that stop in DentalXChange due to specific requirements or payer responses. In this remote role, you�ll collaborate with our Claims Resolution team to streamline claim submissions, identify areas for improvement, and ensure claims meet all payer-specific documentation requirements. Your efforts will directly contribute to improving the efficiency and success of our claims process across multiple locations.

Key Responsibilities:

• Claims Management: Address and resolve claims in DentalXChange to ensure timely and accurate submission to payers.
• Documentation Review: Attach necessary documents and verify claims meet payer-specific requirements for successful processing.
• Process Optimization: Collaborate with the Claims Resolution team to identify and address payer-specific issues, suggest new rules for stopping claims, and enhance clean claim rates.
• Performance Excellence: Maintain high productivity and accuracy while working remotely to meet submission deadlines and team goals.

Qualifications and Skills:

• Dental Industry Experience: Previous experience in dental billing, coding, or claims management is required.
• Technical Proficiency: Familiarity with clearinghouses (especially DentalXChange) and the insurance claims submission process.
• Attention to Detail: Strong focus on accuracy and thoroughness in documentation and resolution of claims.
• Analytical Thinking: Ability to identify and address root causes of claim issues and recommend process improvements.
• Self-Driven: Demonstrated ability to work independently in a remote environment while maintaining productivity and meeting deadlines.
• Communication Skills: Excellent verbal and written communication skills for collaboration with the team and payer representatives.

Requirements:

• Reliable internet connection and a comfortable, distraction-free workspace.