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QUALIFICATIONS: Required Testing: Data Entry test (6000 keystrokes per hour) Dental Terminology Test Math test Required: High School Diploma or GED. 1-year post-secondary coursework in bookkeeping or accounting (or related course of education) or 2-years experience in a health care setting with dental or medical insurance, patient billing and/or collections experience, including some public or customer contact work. Knowledge of medical or dental insurance, terminology and procedures, coding systems and third-party reimbursement procedures. Must demonstrate proficiency with computer keyboarding and touch-typing. Detail orientation. Strong mathematical aptitude, excellent verbal and written communication skills, problem solving skills both in person and on the phone. Strong time management, priority-setting and organizational skills. Preferred: Computed-based billing experience within HealthPartners. PHYSICAL REQUIREMENTS: Requires close visual perception. Limited mobility, normal speech and hearing. Ability to read, write and speak English. Ability to sit for prolonged periods of time. POSITION PURPOSE: The overall function of a Dental Billing and Collections Clerk is to maintain accurate dental billing and collection systems for services rendered to HealthPartners Dental Group patients. With minimal direct supervision, coordinate all activities related to processing insurance data, billing and cash receipts and determining what collection actions to pursue on delinquent accounts. The Dental Billing and Collections Clerk may be expected to perform the duties of a Dental Receptionist as part of their daily routine, depending on the size of the clinic in which they are employed. Service excellence is to be centered on patient care and patient relationships and is the responsibility of all employees. Teamwork is the norm and all employees will be held accountable to work as effective team members. ACCOUNTABILITIES: Third-Party Insurance Monitor and record payments received from other insurers and contact insurance carriers if payments are not received in a timely manner. Adjust patient's account balance based on payments received from third parties. 2. Communicate by phone contact or letter with other insurance carriers (or employers for self-insured groups) to resolve claims and payment issues. 3. Understand and accurately interpret GHI/HealthPartners benefit structures for coordination of benefits. 4. Responsible for assuring that information is obtained, maintained and entered properly into the Dental practice management system that allows appropriate coordination of benefits. Billing/Collections 1. Negotiate payment plans with patients who are not able to pay for services at time of treatment. 2. Create and maintain accurate dental billing and collection records. 3. Monitor ongoing maintenance of all accounts. 4. Determine when it is appropriate to initiate collection actions with a patient and what actions will be taken. Contact patients by written correspondence or direct phone contact to collect outstanding payments. 5. Independently determine when it is appropriate to turn an account over to a collection agency and/or write-off an account as bad debt. 6. Reconcile daily charge payment and adjustment activities. 7. Prepare daily cash receipts for bank deposits and send appropriate documentation to Patient Accounting Clerk. 8. Process daily credit card transactions. 9. Review the daily billing activity of Dental Receptionist working in the clinic. Is expected to be a resource to providers and other staff in the clinic regarding billing and collection policies and procedures. Is responsible to implement new billing and collections policies and procedures in concert with the central administrative staff. 11. Understand and accurately interpret HealthPartners benefit structures for coordination of benefits for patients and other staff. 12. Research insurance records and make decisions regarding the splitting (e.g., to accommo ate a divorce decree) and merging (e.g., for PMAP where each family member has a separate account) of patient accounts. Clerical 1. Handle the more complex referrals for specialty care and the benefit coverage issues involved in these cases. 2. Responsible for knowledge of all dental clerical duties and act as back up whenever necessary. Requires good communication skills and follow through. 3. Maintain a neat and orderly billing/collections area. Type miscellaneous correspondence. Perform other duties as required to accomplish department goals and meet patient needs as directed by dental clinic management. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.