Community Dental Partners

Billing Specialist

Full-Time in Denton, TX - Entry Level - Community Dental Partners - $14.00 - $0.00

Billing Specialist

Denton, TX • Billing




The Billing Specialist posts payments received from insurance companies, cash payments and payment plans to patient’s accounts; enters adjustments, write offs and reconciles patient’s accounts. The Billing Specialist reviews claims for non- payment, posts the zero payment to the patient’s account and writes off the unpaid procedures and claims; resubmits claims with corrected codes, submits secondary claims and mails statements for co-pays and balances due on the account. The Billing Specialist works reports; processes refunds and check requests; does account clean up, and serves as a resource to the dental practices to help improve billing processes and accuracy.


Education: High School graduate or equivalent preferred.

Experience: A minimum of six (6) months experience in a health care collections or related field, or any combination of education, training, or experience in a health care business office environment. Experience with insurance billing, computer and business software programs preferred.

Licensure: n/a

Additional Requirements: May be required to work flexible hours and occasional overtime.



  • Post Cash payments, primary & secondary insurance payments and Payment Plans
  • Secondary Insurance Payment
  • Post Zero Pays
  • Write-off unpaid claims
  • Resubmit claims with corrected codes
  • Mail Secondary Claims
  • Mail Statements for Co-pays and Patient Balances
  • Clean-up accounts
  • Process Insurance Refund Requests for overpayment
  • Process Check Refund Requests from Patients
  • Work Reports
  • Assists dental offices with any patient / insurance payment questions
  • Achieve departmental goals for accurately submitting both paper and electronic insurance claims for previous day’s treatment
  • Determine if claims need to be submitted electronically or via paper and send all supporting documentation
  • Correct and send rejected claims
  • Contact dental offices for information necessary to send a claim
  • Assists dental offices with claim submission questions
  • Verify all demographic (spelling of names, date of birth, and insurance carrier) information is correct.
  • Correct insurance and demographic information if incorrect and resubmit a corrected claim within 95 days from DOS.
  • Work weekly reports
  • Adheres to company, department, corporate, personnel and standard policies and procedures.
  • Attend all mandatory company in-services and staff development activities as scheduled.
  • Adhere to company standards concerning conduct, dress, attendance and punctuality.
  • Support company-wide quality/performance improvement goals and objectives.
  • Maintain confidentiality of company employees and patient information.
  • Perform other duties as assigned

Note: The essential job functions of this position are not limited to the duties listed above.


  • Knowledge of coding and billing procedures.
  • Knowledge of computer software applications.
  • Knowledge of insurance billing and collection procedures.
  • Skill in organizing and prioritizing workloads to meet deadlines.
  • Skill in telephone etiquette.
  • Effective oral and written communication skills.
  • Ability to communicate effectively with patients and co-workers.
  • Ability to adhere to safety policies and procedures.
  • Ability to use good judgement and to maintain confidentiality of information.
  • Ability to work as a team player.
  • Ability to demonstrate tact, resourcefulness, patience and dedication.
  • Ability to accept direction and adhere to policies and procedures.
  • Ability to work in a fast-paced environment.
  • Ability to react calmly and effectively in emergency situations.
  • Ability to meet corporate deadlines.


  • Ability to work a 40 hour week.
  • Ability to sit for long periods, up to 8 hours.
  • Ability to use both hands in fine manipulation of small tools (copier, computer, telephone, typewriter, calculator, safe, facsimile machine).
  • Ability to push and pull up to 10 lbs. (file cabinet drawers, computer paper boxes).
  • Ability to see well enough to read handwritten and typewritten material.
  • Ability to lift and carry up to 25 pounds to move file boxes and data processing paper.
  • Ability to retrieve files from bottom shelves and drawers and move boxes of paper and forms to the computer printer.
  • Ability to reach, turn and twist above and below the waist daily to retrieve files.
  • Ability to spend 90% working time in an environment of continuous low voices and office machine noise typical for business office atmosphere.
  • Ability to handle a variety of repetitive tasks.


  • Copy machine
  • Computer and various software packages
  • Calculator/10-Key
  • Facsimile machine
  • Postage meter
  • Policies and procedure manuals

Job Type: Full-time

Pay: $14/hr (based on experience)

Internal ID: CDP100