Billing Office Lead

The Billing Office Lead is a key role in ensuring the financial and operational success of a dental clinic. This position combines expertise in credentialing and accounts receivable management to support the clinic’s revenue cycle while maintaining compliance with dental industry standards.

• Credentialing Duties:
  • Manage provider credentialing and re-credentialing processes with various insurance carriers.
  • Ensure all provider documentation is accurate, complete, and submitted timely to avoid service disruptions.
  • Maintain a credentialing database to track the status of applications and re-credentialing deadlines.
  • Serve as a liaison between the clinic, providers, and insurance companies to resolve credentialing issues.
  • Regularly review and update provider profiles in practice management systems to ensure accuracy.
• Accounts Receivable Oversight:
  • Monitor and manage patient accounts to ensure timely payment collection and follow-up on overdue balances.
  • Collaborate with external revenue cycle management (RCM) to address insurance claim denials and discrepancies.
  • Generate and analyze AR aging reports to identify trends and develop strategies for reducing outstanding balances.
  • Communicate with patients to arrange payment plans as needed
  • Maintain accurate records of all AR activities and ensure compliance with clinic policies.
• Administrative and RCM Support:
  • Work closely with clinic staff and external revenue cycle management (RCM) partners to streamline workflows.
  • Assist in gathering and verifying necessary documentation for insurance claims and credentialing applications.
  • Monitor key performance indicators (KPIs) related to credentialing and AR processes.
  • Participate in regular meetings to provide updates on AR performance, credentialing progress, and any operational challenges.
  • Identify and implement innovative solutions to improve the efficiency and accuracy of credentialing and AR processes.

Education/Experience

• High School Diploma/GED Eqvlnt.
• Previous experience in credentialing, AR, or a related field in healthcare or dental practices.
• Understanding of dental billing, insurance processes, and accounts receivable management.
• Bilingual Spanish preferred
• Proficiency in dental practice management software.

Knowledge/ Skills/ Abilities

• Strong organizational and time-management abilities.
• Excellent communication and interpersonal skills.
• High level of accuracy and attention to detail.
• Ability to handle multiple tasks and prioritize responsibilities effectively.

Physical Demands

• Extensive time sitting and standing.
• Able to lift up to 5 lbs.
• This position requires compliance with Touro's Vaccine Mandate policy