Dental Billing, Insurance & Administration

Train To Work As A Dental Administrator Or Receptionist In Canada, USA, Australia, New Zealand Or U.K.

What you'll learn

Understand Dental Billing Procedures: Students will learn the steps involved in dental billing, from patient registration to claim submission and payments

Master Insurance Claim Filing: Students will gain proficiency in filing insurance claims accurately, including various insurance plans and coverag

Navigate Dental Insurance Policies: Students will become familiar with different types of dental insurance policies

Interpret Explanation of Benefits (EOBs): Students will learn to read and interpret EOBs, understanding how to apply payments, adjustments, and handle issues

Utilize Dental Software Reports: Students will be trained on using dental software reports, enhancing their efficiency in managing office administration

Ensure Compliance with Regulations: Students will understand the importance of complying with HIPAA and other relevant regulations in dental billing

Manage Accounts Receivable: Students will develop skills to manage accounts receivable, including handling overdue accounts and implementing collection strategy

Perform Administrative Duties: Students will be prepared to perform various administrative duties such as scheduling appointments, managing patient records etc.

Enhance Communication Skills: Students will improve their communication skills, learning how to interact professionally with patients & insurance companies

Problem-Solve Billing Issues: Students will develop problem-solving skills to address and resolve common billing issues, such as claim denials and disputes

Requirements

This course, Dental Billing, Insurance & Administration, requires no prerequisites, making it accessible to individuals with varying levels of experience and background in the dental field. Whether you are new to the industry or looking to enhance your current skills, this course is designed to provide comprehensive training in dental billing procedures, insurance claim filing, and administrative duties, ensuring that all students can effectively manage dental office operations.

Description

This comprehensive course in Dental Billing, Insurance & Administration is meticulously designed for individuals aiming to excel in the administrative functions of dental practices. Whether you are an aspiring dental office professional, current employee looking to enhance your skills, or an individual seeking to transition into the dental field, this course offers a complete pathway to mastering the essential aspects of dental billing and insurance processing.Key Learning Objectives:1. Fundamentals of Dental Billing: Gain an in-depth understanding of dental billing procedures, from patient registration and appointment scheduling to claim submission and payment reconciliation. Learn how to effectively use dental billing software to streamline these processes.2. Insurance Claim Management:  Master the intricacies of filing accurate insurance claims. Understand different types of dental insurance plans such as PPOs, HMOs, and indemnity plans, and how to navigate their specific requirements to ensure maximum reimbursement.3. Explanation of Benefits (EOBs):  Learn to read, interpret, and apply Explanation of Benefits documents accurately. Understand how to handle discrepancies and ensure payments are correctly allocated.4. Compliance and Regulation:  Get acquainted with essential regulations like HIPAA and ADA, and understand the importance of maintaining compliance in dental billing and insurance administration. Learn best practices for safeguarding patient information.5. Accounts Receivable Management:  Develop effective strategies for managing accounts receivable. Learn techniques for handling overdue accounts, implementing collection strategies, and maintaining a healthy cash flow for the practice.6. Patient Interaction and Communication:  Enhance your communication skills to professionally interact with patients, insurance companies, and other healthcare providers. Learn how to explain billing procedures, insurance coverage, and handle patient queries effectively.7. Administrative Duties:  Equip yourself with the skills needed to perform various administrative duties such as scheduling appointments, managing patient records, maintaining office inventory, and ensuring smooth day-to-day operations of the dental office.8. Problem-Solving in Billing: Develop critical problem-solving skills to address and resolve common billing issues, such as claim denials, insurance discrepancies, and patient payment disputes.Course Structure:- Module 1: Introduction to Dental Billing and Insurance  - Overview of dental billing and insurance systems  - Patient registration and data management- Module 2: Detailed Billing Procedures  - Step-by-step guide to billing processes  - Use of dental billing software- Module 3: Insurance Claim Filing and Processing  - Types of dental insurance plans  - Claim submission and follow-up- Module 4: Understanding and Applying EOBs  - Interpreting EOBs  - Handling payment discrepancies- Module 5: Regulatory Compliance  - HIPAA, ADA, and other relevant regulations  - Best practices for compliance- Module 6: Accounts Receivable and Financial Management  - Strategies for effective accounts receivable management  - Collection strategies and maintaining cash flow- Module 7: Enhancing Communication Skills  - Professional interaction techniques  - Explaining procedures and resolving patient queries- Module 8: Comprehensive Administrative Skills  - Scheduling and record management  - Office inventory and supply management- Module 9: Problem-Solving in Dental Billing  - Addressing common billing issues  - Practical problem-solving exercisesWho Should Enroll:- Individuals seeking entry-level positions in dental offices- Current dental office employees looking to enhance their skills- Dental assistants aiming to expand their knowledge base- Administrative professionals transitioning into the dental field- High school graduates interested in a career in healthcare administration- Career changers seeking a new profession in the dental industry- Dental hygienists who want to understand the billing and insurance process- Office managers in dental practices wanting to improve their administrative capabilities- Students enrolled in dental assisting or dental hygiene programs- Dental office receptionists seeking to increase their responsibilities- Those interested in starting their own dental billing business- Individuals re-entering the workforce after a break- Healthcare professionals looking to specialize in dental administration- Entrepreneurs interested in the dental services industry- Anyone with a general interest in understanding dental billing and insurance processesNo prerequisites are required for this course, making it accessible to everyone interested in building a career in dental billing, insurance, and administration. Join us to gain the skills and knowledge needed to succeed in the dynamic and rewarding field of dental administration.

Overview

Section 1: Introduction

Lecture 1 Disclaimer

Lecture 2 Welcome

Lecture 3 Course Agenda

Lecture 4 Why Dental Administration Is Important?

Section 2: Tooth Numbering Systems

Lecture 5 Numbering System: Introduction

Lecture 6 Universal System: Adult Teeth

Lecture 7 Universal System: Baby Teeth ( Primary Dentition)

Lecture 8 FDI System: Adult & Baby Teeth

Lecture 9 Identifying Teeth From A Panoramic Xray

Lecture 10 Identifying Teeth From A Bite-Wing X-Ray

Lecture 11 Identifying Teeth From Peri-Apical ( PA ) X-ray

Section 3: Odontogram Charting

Lecture 12 Introduction

Lecture 13 Identify Surfaces For Charting

Lecture 14 Examples Of Odontograms/Dental Softwares

Lecture 15 Shortcut Buttons/Icons In Software

Lecture 16 Linking Codes To Icons/Shortcuts

Lecture 17 Colour Coding For Procedures

Section 4: Financial & Treatment Co-ordination

Lecture 18 Who Is Financial & Treatment Co-ordinator

Lecture 19 What Does Financial Co-ordinator Monitor In A Dental Practice?

Lecture 20 Numbers And Financial Markers To Monitor Operations

Lecture 21 Steps Of Treatment Co-ordination

Section 5: Insurance Administration

Lecture 22 Four Important Responsibilities In Insurance Administration

Lecture 23 Understanding Dental Claim Forms - I

Lecture 24 Understanding Dental Claim Forms - II

Section 6: Dental Insurance

Lecture 25 What Is A Dental Insurance?

Lecture 26 How A Dental Insurance Works?

Lecture 27 4 Things Never Forget About Dental Insurance

Lecture 28 Examples Of Dental Insurers

Lecture 29 What Is Dental Insurance Full Coverage ?

Lecture 30 What Is A Co-Payment ?

Lecture 31 What Is Deductible?

Section 7: Verifying Dental Insurance Benefits

Lecture 32 Explanation Of Benefits: Introduction

Lecture 33 EOB Unveiled

Lecture 34 Frequency Of Benefits ( Calendar Vs Rolling Year )

Section 8: Government Dental Plans

Lecture 35 Introduction

Lecture 36 Case Study On Government Dental Plan

Lecture 37 Eligibility For Government Plans

Lecture 38 Breakdown Of Government Benefits

Lecture 39 Variables In Government Benefits

Section 9: Dental Codes

Lecture 40 Introduction

Lecture 41 Canadian Dental Codes : Key Features

Lecture 42 American Dental Codes ( CDT ) : Key Features

Lecture 43 Interpretation Of Dental Codes ( Canadian)

Lecture 44 Identifying Number Of Units From Dental Code

Lecture 45 Interpretation Of Dental Codes ( CDT or American)

Section 10: Estimating Dental Benefits

Lecture 46 Introduction

Lecture 47 Four Ways To Estimate Dental Benefits

Lecture 48 Pre-Determinations

Lecture 49 Two Mantras For Predetermining Benefits

Lecture 50 Filing Documents & Claims Alphabetically

Lecture 51 Secondary Insurance: Sending Claims

Section 11: Billing Errors: Mistakes That Cost

Lecture 52 Introduction

Lecture 53 Inaccurate Or Missing Patient Information

Lecture 54 Inattentive To Verification Process

Lecture 55 Coding Errors

Lecture 56 Filing Claims Inefficiently

Lecture 57 Missing Additional Documentation

Lecture 58 Compliance With Federal Laws : PIPEDA & HIPAA

Section 12: Financial Policies

Lecture 59 Introduction

Lecture 60 Understanding Fee Guides

Lecture 61 Examples Of Financial Policies

Lecture 62 Co-Pay FAQ: “ How Much Do I Have To Pay”

Lecture 63 Co-Pay FAQ: “ Can The Dentist Waive My Co-payment”

Lecture 64 Payment Arrangements Or Financing

Lecture 65 Collections: Key Points

Lecture 66 Posting Payments After Treatment

Lecture 67 Posting Payments: Key Points

Lecture 68 Why Post Payments At The Time Of EOB?

Lecture 69 Handling Patient Accounts: Collecting Balances

Section 13: Understanding Different Reports

Lecture 70 Importance

Lecture 71 Example Reports

Lecture 72 Day Sheet Report

Lecture 73 Audit Trail Report

Lecture 74 Adjustment Day Report

Lecture 75 Provider A/R Totals Report

Lecture 76 Collections Manager Report

Lecture 77 Provider Credit Report

Lecture 78 Inputs For Reports

Lecture 79 More Inputs

Section 14: Audits

Lecture 80 Introduction

Lecture 81 Audits: Key Points To Remember

Lecture 82 Numbers Indicating Health Of Dental Practice

Lecture 83 Problem Accounts

Lecture 84 Handling Collections

Lecture 85 Write-Offs In Dental Practice

Section 15: Orthodontic Insurance

Lecture 86 Importance Of Pre-Determination

Lecture 87 Relevant Codes In Orthodontics

Lecture 88 Monthly Billing In Orthodontics

Lecture 89 Transfer Of Patients During Orthodontic Treatment

Lecture 90 Divorce: How To Bill Insurance?

Section 16: Administration & Customer Service

Lecture 91 Introduction

Lecture 92 How To Stay Efficient?

Lecture 93 Have A Right Attitude: But How ?

Lecture 94 How To Handle Patients: Moment They Walk In

Lecture 95 Phone Etiquettes For Dental Office

Lecture 96 How To Deal With Salespeople

Lecture 97 How To Take Messages When Dentist Is Busy

Lecture 98 Phone Coverage During Lunch Hours

Lecture 99 Dental Emergencies: What Are They & How To Schedule

Lecture 100 Transferring X-rays, Records: On Patient’s Request

Lecture 101 Steps For Records Transfer: Sample Form

Lecture 102 Handling Late Patients: Do’s & Dont’s

Lecture 103 Handling Angry Patients: Do’s & Don’ts

Lecture 104 Proper Hand-off: Why It’s So Important

Lecture 105 Steps Of Walking Out Patients

Lecture 106 Asking For Referrals

Lecture 107 Hand-off To Treatment Co-ordinator

Lecture 108 Key Areas In Dental Communication

Lecture 109 How To Offer Appointments

Lecture 110 Cancellations & Scheduling Issues

Lecture 111 Confirmation Calls For Appointments

Lecture 112 Next Day Review

Lecture 113 Scheduling Pending Treatment

Lecture 114 Overdue Recare Calls

Lecture 115 Periodontal Overview For Insurance

Lecture 116 Keep Dental Hygiene Department Busy

Lecture 117 How To Present Treatment Plan

Lecture 118 How To Answer: “ Can The Treatment Wait ?”

Lecture 119 How To Discuss Money With Patients

Lecture 120 Consent & Decline Forms

Lecture 121 Obtaining Consent Before Treatment

Lecture 122 Insurance Focused Patients: How To Handle ?

Lecture 123 Follow Up For Treatment Plans

Lecture 124 Morning Meeting Agenda: Must Contain

Lecture 125 Treatment Co-ordinator Checklist

Lecture 126 Monthly Follow Ups: Treatment Co-ordination

Lecture 127 Financial Goals Of A Dental Office

Section 17: New Patient Experience

Lecture 128 Introduction

Lecture 129 Answering Phone Calls

Lecture 130 Best Time To Schedule Appointment

Lecture 131 New Patient Interview: When They Call

Lecture 132 Shoppers Or Patients Calling For Second Opinions: How To Handle

Lecture 133 Entering New Patient Information

Lecture 134 Dental Communication: Do’s & Don’t

Lecture 135 Consultations & Their Importance

Lecture 136 Referral Management

Section 18: Patient Scheduling

Lecture 137 The Fundamentals In Dental Scheduling

Lecture 138 Types Of Scheduling

Lecture 139 Block Scheduling

Lecture 140 Dental Hygiene Scheduling

Lecture 141 Monthly Goals In Scheduling

Lecture 142 Pre-Book Dental Hygiene: Motivate Your Patients

Section 19: Common Dental Procedures You Should Know

Lecture 143 Introduction

Lecture 144 Scaling Or Dental Cleaning

Lecture 145 Fillings

Lecture 146 Root Canal Treatment

Lecture 147 Crown

Lecture 148 Bridge

Lecture 149 Extraction

Lecture 150 Implants

Lecture 151 Dentures: Complete & Partial

Lecture 152 Invisalign

Section 20: Conclusion

Lecture 153 Congratulations

Lecture 154 Meet Your Professional Support Instructor: Anju

Lecture 155 More Helpful Content

Individuals seeking entry-level positions in dental offices.,Current dental office employees looking to enhance their skills.,Dental assistants aiming to expand their knowledge base.,Administrative professionals transitioning into the dental field.,High school graduates interested in a career in healthcare administration.,Career changers seeking a new profession in the dental industry.,Dental hygienists who want to understand the billing and insurance process.,Office managers in dental practices wanting to improve their administrative capabilities.,Students enrolled in dental assisting or dental hygiene programs.,Dental office receptionists seeking to increase their responsibilities.,Those interested in starting their own dental billing business.,Individuals re-entering the workforce after a break.,Healthcare professionals looking to specialize in dental administration.,Entrepreneurs interested in the dental services industry.,Anyone with a general interest in understanding dental billing and insurance processes.