Dental Billing Representative - Remote

** Please note that this position will work remotely after a minimum of 6 months of onsite training in the Winter Garden, FL office **

CHC follows the CMS requirements which requires all team members to obtain a COVID-19 vaccination.

A career at Community Health Centers offers a unique opportunity to join a team that makes a real impact in our community every day, by improving individuals' health while enhancing their quality of life.

Top Reasons to work at Community Health Centers

  • A great benefits package that includes healthcare coverage, paid time off, paid holidays, retirement plan, and more.
  • Competitive compensation with advancement opportunities and tuition / training reimbursement.
  • Awarded "Best and Brightest Companies to Work for in the Nation" in 2018, 2019, 2020, and 2021.
  • Awarded "Top 100 Workplaces for Growing Families" by Orlando Sentinel.
  • Modernized and attractive health centers, that patients love.

Job Summary:

The Dental Billing Representative will review all assigned claims for billing accuracy and compliance with payer policies and requirements. Responsible for filing and ensuring all third-party payer claims are paid timely. Responsible for completion of all duties and reports listed on the Billing Guidelines.

Primary Responsibilities and Specific Duties:

  • Review claims for accurate CDT coding, accurate tooth number and surfaces and submit following individual dental payer guidelines.
  • Reviews claims for accuracy in accordance with Medicaid and Managed Care policies.
  • Reviews dental module for frequencies, x-rays and documentation required for narratives.
  • Utilize dental payer portals to submit corrected claims and claims requiring X-rays and narratives.
  • Transfers balances to patient's responsibility on non-covered items, benefits denied, or charges applied to the deductible.
  • Researches and ensures corrections are made on denied claims due to missing or incorrect information.
  • Ability to check dental insurance eligibility and review benefits, frequencies and patient history.
  • Dental Payment posting along with the posting of insurance and patient refunds.
  • Performs insurance collection (follow-up) function utilizing the collection system management and aging reports. As a part of this function generates and reviews aging reports to submit to insurance carriers when appropriate and in accordance with established guidelines.
  • Runs paper claims when necessary and submits claims to appropriate fiscal intermediary.
  • Prepares all refund paperwork for accounts payable and enters adjustments into the eClinicalWorks (eCW) System.
  • Maintains current knowledge of all Medicaid policies and procedure updates.
  • Self-Pay Collection:
    • Reviews and appropriately places account claims in the collection management system in eCW.
  • Following collection guidelines, sends collection letters and establishes phone conversations concerning outstanding balances.
  • Establishes payment arrangements with responsible parties for outstanding balances.
  • Processes all returned mail according to established policy and procedure.
  • Processes all incoming patient correspondence and answers all patients' questions regarding their account balance.
  • Processes electronic file for monthly patient statements.
  • Makes necessary adjustments to correct patient accounts for correct billing.
  • Provides recommendations to Billing and Coding Manager regarding account disposition (collection agency placement, write-off discharge, etc.).
  • Reports billing challenges to the Billing & Coding Manager and/or Patient AR Manager.
  • Answers questions related to insurance and patient dental billing for all internal/external customers.
  • Ensures accuracy of payments received from third party payers per contracts and current reimbursement rates.
  • Posts contractual adjustments as required to Medicaid, HMO, PPO and other accounts per contracts and current reimbursement rates.
  • Collects and posts payments and completes appropriate forms/reports and submits daily to Billing and Coding Manager and Bookkeeper.
  • Performs all other duties as assigned.



  • High School Diploma or equivalent is required.


  • One year of dental billing and collection background and experience in a physician practice setting is required.
  • Must be experienced in working with eClinicalWorks or other similar medical software products.
  • Must have basic knowledge of medical terminology.
  • Must have good communication and customer service skills.


  • NA

Special Skills:

  • Must understand the billing procedures for Medicare/Medicaid, Workers Compensation, HMOs, PPOs and other managed care and commercial insurance plans.
  • Must have knowledge of state credit laws and regulations and generally accepted collection practices.
  • Ability to read, understand, and follow oral and written instructions.
  • Maintain patient confidentiality.
  • Excellent communication and customer service skills.

Other requirements:

  • Able to work flexible hours as needed.