• Analyze and interpret complex records in order to identify and accurately bill for services with the appropriate ICD-10 and CPT/HCPCS codes. • Assign/sequencing billing codes in compliance with third party payor requirements. • Obtain clarification when presented with conflicting or non-specific documentation, when necessary. • Review coding-related denials from payors and make recommendations to resolve claims based on payer guidelines.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Are you experienced in dental insurance billing and coding? Join Diamond Braces as a Biller! Enjoy growth opportunities, great benefits, and the flexibility of a potential remote work environment. Ready to make insurance billing your business? We’d love to meet you! Essential Functions: - Insurance Billing: Accurately prepare and submit insurance claims, including working with state-sponsored insurance programs such as Medicaid. - Coding Compliance: Ensure all billing codes are accurate and comply with regulatory requirements, minimizing claim rejections and delays. - Follow Up on Claims: Track and follow up on outstanding claims to ensure timely payment, addressing any issues or discrepancies as they arise. - Patient Account Management: Assist with patient billing inquiries, providing clear and accurate information regarding their insurance coverage and out-of-pocket costs. - Maintain Accurate Records: Keep detailed records of all billing activities, ensuring compliance with legal and regulatory standards. - Collaborate with the Team: Work closely with the billing department and other team members to ensure seamless billing operations. - Stay Informed: Keep up to date with changes in insurance regulations, billing practices, and coding requirements to ensure compliance and accuracy. - Stay Flexible: Be ready to handle additional tasks as required, adapting to the dynamic needs of the practice. Qualifications - 3+ years of experience in insurance billing and coding, including working with state-sponsored insurance programs such as Medicaid. - Strong understanding of medical and dental billing codes and practices. - Excellent organizational and communication skills. - Proficiency in billing software and technology. - Ability to work independently, especially in a remote setting. - Commitment to accuracy and compliance. Benefits - Competitive salary based on experience and qualifications. - Health, Dental, and Vision insurance packages. - Paid Time Off (PTO). - 401(k) with company match. - Discounted orthodontic care for you and your family. - Ample growth & advancement opportunities. - Potential for remote work. Company Description At Diamond Braces, we believe in improving lives through healthier smiles. Our mission is to provide orthodontic care that is affordable, accessible, and delivered with amazing customer service—the 'AAA Experience.' We’re committed to making every smile count, and we live by our "No Smile Left Behind" philosophy.

• Manage day-to-day operations of multiple teams • Ongoing monitoring of productivity, quality, and capacity • Shape communication with respective agencies and internal teams • Strategize with the quality team to support ongoing quality programs • Manage services to ensure appropriate coding practices, regulatory, and contractual compliance • Provide relevant client metrics through accurate and up-to-date client dashboards • Determine resolution of complex issues with clients and internal teams • Perform other job duties as assigned

Role Description The Funding Coordinator is responsible for maintaining the administrative workflow of reviewing, submitting and following-up with medical documentation related to authorizations. - Manages prior authorization requests and sends them to the appropriate funding source. - Consistently submits and follows up on status of all prior authorization requests. - Reviews authorizations from payer to determine approved/denied items. - Submits appeals as necessary. - Works closely with client’s coordinator regarding payer status as well as estimated patient’s responsibility. - Communicates to management any identified issues related to payers. - Utilize Numotion Leadership Principles to perform the job with integrity, compliance, and values consistent with Numotion’s mission. - Adhere to employee or customer confidentiality and comply with Numotion’s policies and federal regulations. - Always provide excellent customer service for all internal and external customers of the operations. - Provide solutions for customer concerns and continually focus on customer service as our top priority. The above duties and responsibilities are not an all-inclusive list but rather a general representation of the duties and responsibilities associated with this position. The duties and responsibilities will be subject to change based on organizational needs and/or as deemed necessary by management. Qualifications - High School diploma or GED. - Six (6) months of processing medical documentation. - Proficiency in Microsoft Office Suite. - Ability to work in a fast-paced environment and juggle multiple priorities. Requirements - Associates degree in relevant field. - Ability to think quickly, assess a situation and make a sound decision. - Solid written and verbal communication, listening, organization and priority setting skills. Physical Work Requirements - Frequent use of hands, wrists, fingers associated with using computer equipment. - Prolonged periods of time working at a desk and/or on a computer. - Occasionally move and reach with arms and hands. - Ability to lift/move up to 10 pounds. Benefits - Competitive compensation packages. - Medical, dental and vision insurance. - Short-term and long-term disability. - 401k. - Life insurance.