Patient Account Representative
Job Details
South - Fitchburg, WI
Full Time

We have an opening for a full-time Patient Account Representative, located at our South Clinic, 2971 Chapel Valley Road.  Earn up to a $1000 signing bonus!

With a robust history dating back to 1969, DHA is a leader in the community as a widely respected dental provider. You can be a vital part of our tradition of excellence.

HISTORY: In 1969, a group of five dentists, led by Drs. Daro A. Buchanan and Richard O'Brien, formed Dental Health Associates of Madison, Ltd. (DHA). Both dentists had been single practitioners for 15 years, but saw the need for a unified, complete range of services at a single location.

Since DHA's inception as a traditional group dental practice in the late 1960's the concept of a group of dentists joining together provides many benefits for both the patients and the practitioners. As a group, their goal is to provide a comprehensive approach to dental care for their patients. They also realize the benefit of peer review and shared consultation to assure high quality dental care. So while some things have changed over the years, the basic premise remains the same: to provide the best possible dental health care to our patients.

We have grown over the years from only performing general dentistry to having specialties--periodontics, endodontics and orthodontics. We have grown from 5 to 31 dentists with auxiliary staffing of over 275. We have seven locations that reflect the geographic distribution of our patients in and around the Madison area.

Position Summary
This position works in the billing department primarily as a support person to assist with workflow, ensure that duties and projects are completed in a timely manner, and provide Dental Health Associates patients’ with excellent customer service.

Typical Physical Demands
Work may require sitting for long periods of time; also stooping, bending and stretching for files and supplies. Occasionally lifting files or papers. Requires manual dexterity sufficient to operate a keyboard, operate a calculator, telephone, photocopier, and fax as necessary. It is necessary to view and type on computer screen for long periods and to work in an environment which can be very stressful.

Typical Working Conditions
Work is performed in an office environment. Involves frequent contact with staff, patients, and the public. Work may be stressful at times. Contact may involve dealing with angry or upset people.

Essential Functions and Responsibilities
•Provide direct patient services so that needs are being addressed in a courteous and helpful manner.
•Handle patient records and employee issues confidentially, following HIPAA guidelines.
•Mails out completed insurance claims to insurance companies.
•Send out preauthorization letters.
•Research insurance plans to verify accuracy of system information.
•Research electronic claim errors.
•Identify recurring problems encountered in registration, billing and insurance and apprise the Billing Manager.
•Analyze and audit patient accounts, determining problems and errors, and verifying insurance payment and adjustments.
•Post all payments and adjustments according to the contract or plan agreement.
•Update accounts to the “next” payor responsibility.
•Review any overpayment balances to determine need for account correction or refund process.
•Complete refund process to bring account to a zero or correct account balance.
•Handle incoming and outgoing mail.
•Prepare bank deposits.
•Must work well in a team environment and be capable of building and maintaining positive relationships with internal and external customers.
•Filing and other project as assigned by Billing Manager.
•Assist with other billing department functions as needed.


•High School diploma or equivalent.
•Associate degree preferred.
•Two years of insurance/HMO experience.
•One year of medical or dental insurance background preferred.
•Proficiency in filing and collecting insurance claims from individual carriers or agencies.
•Knowledge of commercial and HMO insurance industry operating procedures.
•Knowledge of compliance, cost reimbursement, and insurance negotiating procedures.
•Skill in English grammar and spelling.
•Knowledge of basic mathematical computations.
•Cash handling skills.
•Ability to read, understand, and follow oral and written instruction.
•Ability to sort and file materials correctly by alphabetic or numeric systems.
•Ability to speak clearly and concisely.
•Ability to maintain confidentiality of sensitive information.
•Good oral and written communication skills.
•Ability to prioritize, plan and organize.
•Ability to operate basic office equipment (i.e. typewriter, photocopier, fax, computer).
•Ability to work independently without constant supervision.
•Decision making ability (i.e. evaluate patient financial status and establish financial arrangement accordingly).