The Dental Service Representative is responsible for coordinating dental procedures; obtaining supporting documents from the dental team to request preauthorization from third party payers; scheduling and monitoring dentist’s schedules, collecting and posting dental payments and preparing daily claims for billing.

• Knowledge of NYS Dental Medicaid billing.
• Collect treatment fees due from patients and document date-of-service payments.
• Resolve patient concerns; answer or seek to find an answer to patient inquiries.
• Confirm Appointments and check eligibility.
• Prepare necessary financial documents for patients’ approval.
• Discuss estimates and payment arrangements with patients.
• Complete and submit Preauthorization and predetermination forms to DMOs and other payers.
• Prepare and validate dental claims for billing before submitting them to insurers to ensure that they're accurate, complete, and have the correct codes.
• Research and update referrals.
• Send X-rays and follow-up documentation through Apteryx.
• Work closely with the dental team and accounting for Self-pay accounts.
• Retrieve review of dental history on insurance portal.

• High School Diploma or GED required.
• Graduate of a dental assistant training program, a plus.
• Preferred 2-years’ experience in a dental field.
• Familiarity serving persons with intellectual and developmental disabilities, a plus.
• Proficiency in oral, written and computer skills, required.
• Knowledge of Dental Software, x-rays.
• Competent in dental terminology and procedures.
• Proficiency with Preauthorization with Medicaid managed care plans and third-party plans.
• Good patient service skills and ability to work as a team in a fast-paced environment.