Overview:
The Billing Office Associate is a key role in ensuring the financial and operational success of Touro College of Dental Medicine’s Albuquerque clinic. This position combines credentialing and accounts receivable management to support the clinic’s revenue cycle while maintaining compliance with dental industry standards.
Responsibilities:

Responsibilities include but are not limited to:

• 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 billing staff 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.

Qualifications:

EDUCATION/ EXPERIENCE

• Bachelor’s degree preferred, high school diploma/GED equivalent required.
• Previous experience in credentialing, AR, or a related field in healthcare or dental practices required.
• Understanding of dental billing and insurance processes is a plus.

KNOWLEDGE/ SKILLS/ ABILITIES

• Proficiency in dental practice management software.
• 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.

• 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 billing staff 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