Dental Biller
Company: Metro Community Health Center
Location: Pittsburgh
Posted on: January 5, 2026
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Job Description:
Job Description Job Description Dental BillerPittsburgh, PA
15218 OverviewPosition TypeFull Time Description Metro Community
Health Center extends great benefits to our eligible employees.
MCHC current benefits are: - MCHC pays 100% of the employee premium
for UPMC Medical, United Concordia dental, STD, LTD - Life
insurance ($100,000) - VBA vision coverage is offered as voluntary
coverage that paid for by the employee - Medical and Dependent Care
FSA and HRA - 2 weeks of paid parental leave - 20 days (4 weeks) of
PTO for your 1st two years - 12 paid holidays - 401k with a 4%
match - Competitive Wages ESSENTIAL FUNCTIONS: - Responsible for
daily billing operations to ensure maximum productivity, accuracy
of claims submission and third party follow up through automated
work queues while assisting with resolution of disputed claims. -
Maintains a good working knowledge of the specific billing
requirements for all payers for FQHC. - Including assigning
appropriate DPT-4 codes and appropriate ICD- 10-CM diagnosis codes
selecting the codes that accurately describe the condition for
which the service or procedure was performed. - Provides ongoing
training and development of staff as required to ensure payor
requirements are met. - Review claims editing reports for
consistent errors and follow up with the management for improvement
in quality and performance. - Analyze and trend billing issues
related to A/R, i.e., Specialty, Payer, Provider, etc. for
efficiencies while taking proactive approach to resolve A/R issues
prior to escalation. - Engage in open communication with management
regarding information system, third party payor, and regulatory
updates and/or enhancements. - Contacts patients to obtain, verify,
and update account information when necessary - Work with the
payors and subscribers to resolve issues and facilitate prompt
payment of claims. - Develop and analyze reports that will monitor
claim edit trends - Ability to work independently, with minimal
supervision. Must be very reliable and punctual as attendance is
important for this position - Participate in review and evaluation
of claim denials to ensure appropriate reimbursement. - Participate
in assessing claim edits to enhance the billing system
functionality and identify user training and development needs. -
Process monthly patient statements and answer patient inquiries in
regard to those statements. - Generate patient service invoices in
a timely manner. - Being familiar with the responsibilities of
Patient Access and willing to perform such duties on a daily basis
up to but not limited to answering patient calls, scheduling,
insurance verification and prior authorizations. - The list of
duties and responsibilities is not intended to be all-inclusive and
may be expanded to include other duties or responsibilities that
management may deem necessary from time to time. Qualifications
POSITION REQUIREMENTS - High school graduate or equivalent,
bachelor's degree preferred. - Must be knowledgeable of medical and
dental terminology, electronic and manual claims processing, and
third-party payor billing guidelines and reimbursement practices
for primary care centers. - Must be able to establish priorities,
effectively problem solve, and use good judgment and decision
making in day-to-day billing operations and work independently. -
Must have ability to communicate well both orally and in writing.
Requires prior working experience on personal computers and various
office equipment. LP PI24630f13e4ae-25405-37068748
Keywords: Metro Community Health Center, Altoona , Dental Biller, Accounting, Auditing , Pittsburgh, Pennsylvania
