Education

What is a dental biller or dental coder?

A dental billing specialist is someone who manages the dental practice accounts receivables. The day to day duties of a dental billing professional include a combination of the following:

Filing and submitting insurance claims to various insurance carriers for reimbursement
Collecting patient co-payments
Submitting pre-authorizations for expected treatment
Obtaining eligibility verification on patients and their family members
Calling insurance carriers to check on aging or old insurance claims that have not been paid
Explaining insurance co-payments and/or coinsurance portions to the patient
Sending out and collecting outstanding patient balances

A dental coding professional is someone who posses all the skills listed above as well as being able to look up and place proper dental codes (CDT) , medical codes(CPT) and diagnosis (ICD-9-CM) codes to a claim by extracting the information from the patient’s chart or dentist’s operative notes.

If you’re interested in furthering your carrier or starting a new career in the dental field as a Dental biller/coder the ADCA has education and training classes as well as certification opportunities to assist you with your goals.