Dental Billing & Credentialing Manager Job at Dental365, Melville, NY

S1V0bnBIMnFwbEZDWEZIa3BSN3JVVnlvRmc9PQ==
  • Dental365
  • Melville, NY

Job Description

Job Description

Job Description

Please Note: This position is full-time (Monday-Friday) on-site at out Melville Headquarters office, located at: 105 Maxess Rd., Melville, NY 11747

OUR POSITION:

We are seeking an experienced and dedicated Insurance & Credentialing Manager to join our dental support organization within the Revenue Cycle department. This role is crucial in ensuring the smooth and efficient management of various insurance-related processes, including credentialing, auditing, clinical and medical billing, legal compliance, insurance and patient accounts receivable, claim processing, and appeals. The ideal candidate will have a strong background in these areas and be able to lead a team to achieve organizational objectives.

RESPONSIBILITIES:

Management:

  • Directly reporting to the Chief Insurance Officer on all matters regarding responsibilities listed below
  • Overseeing allocated responsibilities amongst team and leading by example, implementing best practices

Credentialing :

  • Manage the credentialing process for all providers to ensure compliance with insurance requirements and regulations.
  • Maintain up-to-date records and documentation for all credentialed providers.

Auditing :

  • Conduct regular audits of clinical and billing processes to ensure accuracy and compliance with industry standards and legal requirements.
  • Implement corrective actions based on audit findings to improve processes and reduce errors.

Clinical and Medical Billing:

  • Oversee the billing process, ensuring timely and accurate submission of claims.
  • Work closely with clinical staff to ensure proper documentation and coding for services rendered.
Legal Compliance:

  • Ensure all billing practices comply with state and federal regulations, including HIPAA.
  • Stay updated on changes in regulations and implement necessary changes to maintain compliance.

Insurance and Patient Accounts Receivable (AR):

  • Manage insurance AR by monitoring outstanding claims and following up with insurance companies for resolution.
  • Oversee patient AR to ensure timely collection of outstanding balances and implement strategies to reduce overdue accounts.
Claim Processing & Appeals:

  • Oversee the processing of insurance claims from submission to payment.
  • Handle claim denials and appeals, working to resolve issues and secure appropriate reimbursement.
YOUR EXPERIENCE:

  • Minimum of 4+ years of relevant work experience in insurance management within a healthcare or dental setting.
  • Strong knowledge of credentialing, dental billing, and insurance AR processes.
  • Experience in auditing clinical and billing practices for compliance and accuracy.
  • Strong verbal and written communication skills.
  • Proven ability to build rapport with colleagues and train staff.
  • Highly organized, detail-oriented, and able to manage multiple tasks simultaneously.
OUR EMPLOYEE BENEFITS! (Full-Time)
  • Flexible Health and Vision Insurance Plans : Tailored options for you and your family's well-being.

  • 401(K) Retirement Plan with Matching: Secure your financial future with our employer-matched plan up to 6%.

  • Generous Paid-Time Off: Accrue up to 3 weeks, plus an annual "you" day for self-care.

  • Exclusive In-house Dental Program : Heavily discounted services for you and your immediate family.

  • Extra Perks and Fringe Benefits: Enjoy additional benefits and ongoing perks for our dedicated teams.

  • Incredible work environment of skilled individuals with the opportunity for massive growth!

NY Salary Range $90,000 - $110,000

Dental365 celebrates diversity. Our company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetics, sexual orientation, gender identity, or gender expression in terms of all conditions of employment. Our diversity is one of our greatest strengths, and as an Equal Opportunity Employer, we are proud to promote a work environment where all differences are respected.

Salary Range

$90,000—$110,000 USD

Job Tags

Full time, Work experience placement, Immediate start, Flexible hours, Monday to Friday,

Similar Jobs

MedChi, The Maryland State Medical Society

Radiation Oncologist - Morristown Medical Center Job at MedChi, The Maryland State Medical Society

Atlantic Health System is Seeking a Radiation Oncologist in Northern New JerseyAtlantic Health System, one of New Jersey's largest non-profit healthcare networks, is seeking a Radiation Oncologist to join Atlantic Health System Cancer Care. The team consists of dynamic... 

Penguin Random House LLC

Editorial Assistant, TarcherPerigee - (Hybrid) Job at Penguin Random House LLC

 ...TarcherPerigee, an imprint of Penguin Random House, seeks an Editorial Assistant to join their team. The Assistant will provide administrative and editorial support to a collaborative editorial team, and will work on a range of nonfiction titles, which include Set Boundaries... 

TAG Refrigeration

Supermarket Refrigeration Service Technician Job at TAG Refrigeration

 ...Are you a Certified HVAC/Refrigeration Technician looking for a place to build your career - not just another job? We are looking a Journey Level Refrigeration Technician for full-time, year-round commercial service work in and around the Yuma, AZ area. Looking for... 

Warren Henry Automotive Group

Sales Consultant - Jaguar Land Rover South Dade Job at Warren Henry Automotive Group

 ...hours and weekends. Excellent communication skills both oral and written. Proper email and telephone etiquette. Must be comfortable with public communication. Intermediate level of competency using Microsoft Office Suite. PI94fdd809b6ec-30492-36017008... 

American Red Cross

Quality Control Laboratory Technologist - Part Time Job at American Red Cross

 ...resources and perks, you have amazing possibilities at the American Red Cross to advance the learn. Medical, Dental Vision plans Health Spending Accounts & Flexible Spending Accounts PTO Holidays 401K with 5% match Paid Family Leave Employee Assistance ...