DentalXChange Billing Specialist - Smile Partners USA

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.