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Company

Original Job Post

North American Dental Group (NADG) · 3 days ago

Revenue Cycle Analyst

Pittsburgh, PA

Part-time

Remote

Mid Level

3+ years exp

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DentalHealth Care

Insider Connection @North American Dental Group (NADG)

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Responsibilities

Processing dental claims for payment by insurance companies to ensure appropriate and timely coding, billing, and collections

Performs manual and electronic posting functions for all payors/patient accounts, including cash balancing and reconciliation of bank deposits.

Post payment corrections, payment transfers, and NSF’s.

Research and clear unapplied accounts using established identification functions/process.

Maintains knowledge of insurance rejections/denial processing and appropriately posts information for collection and follow-up activity.

Responsible for all aspects of follow-up and collections, including making phone calls, accessing payer websites. Identify issues or trending and provide suggestions for resolution.

Accurately and thoroughly documents the pertinent collection activity performed. Review the account information and necessary system applications to determine the next appropriate work activity.

Reviews investigate and resolves claims that have been rejected or denied by insurance. Verify claims adjudication utilization appropriate resources and applications.

Perform appropriate billing functions, including manual re-bills as well as electronic submission to payers. Edit claims to meet and satisfy billing compliance guidelines for electronic claim submission.

Initiates appeals and ensures all required documentation is submitted in the appeal process.

Answers patient billing questions and act as a resource for patient billing questions.

Ledger accuracy and account integrity

Analyzes and correct insurance account receivable and payment posting ledger and posting errors

Thoroughly research all payor recoupments and identify errors and/or opportunity to dispute and restore loss in revenue. Research and validate patient refunds

Verification of insurance benefits utilizing website, fax, and phone.

Reviewing patient accounts to determine and correct any discrepancies; account audits, aging AR, unapplied adjustments, resolving credit balance, unposted payments

Researches and follow up on all correspondence associated with assigned accounts

Other duties and responsibilities as assigned by leadership

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Dental experienceMedical experienceDental office workflowsRevenue cycle functionsSchedulingRegistrationInsurance verificationFee schedulesClaim submissionCharging/coding requirementsInsurance AR follow upPayment posting processPractice management software systemsInsurance portalsClearing housesInsurance guidelinesBanking reconciliation softwarePC skillsMS OfficeExcel skillsComputer literacyData entry10-key by touchProblem-solvingInterpersonalOrganizationAttention to detailAnalyticalTeamwork

Required

High School Diploma or equivalent

Minimum 3-5 years Dental or Medical Experience

Prior experience in Dental Office workflows, Revenue Cycle functions to include scheduling, registration, insurance verification, fee schedules, claim submission, charging/coding requirements, insurance AR follow up and payment posting process

Experience with practice management software systems, insurance portals, clearing houses, insurance guidelines, banking reconciliation software, proficient in intermediate PC skills (MS Office—strong excel skills)

Strong computer literacy, excellent Math and problem-solving skills. Data entry and 10-key by touch

Strong interpersonal and organization skills

Ability to work within a team setting and as an individual contributor

Proven attention to detail with strong analytical skills