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North American Dental Group (NADG) · 3 weeks ago

Ortho AR Specialist

Pittsburgh, PA

Full-time

Hybrid

Entry, Mid Level

2+ years exp

North American Dental Group (NADG) is seeking an Orthodontic Accounts Receivable (AR) Specialist responsible for the timely and accurate execution of insurance claims processing and patient AR follow-up. The role focuses on collections support, including reviewing EOBs, submitting appeals, and resolving account balances to maintain clean claims and minimize aging AR.

DentalHealth CareInsuranceMarketing

Responsibilities

Reads/analyzes Explanations of Benefits (EOBs) for accuracy; determines appropriate follow-up actions

Submits dental claims, appeals, and supporting documentation to payers

Identifies and corrects billing errors and resubmits claims as needed

Conducts root cause research for denied or unpaid claims

Uses insurance portals and phone outreach to follow up on claim status

Bills work-in-progress, secondary and tertiary insurance when applicable

Reviews remittance advice for underpayments or payment discrepancies

Escalates recurring payer issues or delays to supervisors as needed

Initiates & maintains patient AR follow-up for overdue balances, per internal protocols

Coordinates payment arrangements or flag accounts for further collection activity

Conducts ledger audits, contract corrections, and AR adjustments with policy alignment

Responds to practice-level inquiries via email or ticketing system in a timely and professional manner

Supports Cloud9 optimization and contribute feedback to improve workflows

Meets assigned productivity benchmarks and team performance goals

Expected to work all scheduled days and hours, and to report to work on time

Embraces NADG's values, culture, and 'Core 3': People First, Access to Care, and Cost Containment

Supports the NADG Care Cycle and prioritizes delivering best-in-class patient care

Other duties as assigned

Qualification

Dental revenue cycleClaims billingInsurance portalsMicrosoft Office SuiteCloud 9 softwareCustomer serviceCommunication skillsTeamworkProblem-solvingTime management

Required

Minimum of 2 years in dental revenue cycle, including claims billing and patient collections

Proficiency in Microsoft Office Suite

Familiarity with insurance portals and eligibility/claim inquiry tools

Knowledge of insurance payer guidelines and AR workflows

Attendance & Reliability: Arrives to work on time; dependable, punctual, and demonstrates strong time management skills

Cooperation & Teamwork: Works respectfully and effectively with colleagues; contributes meaningfully to help the practice achieve its goals

Communication Skills: Demonstrates clear, organized, and effective written and oral communication; exhibits strong listening and comprehension abilities

Customer Service: Provides professional, helpful, and high-quality service to both internal and external customers, addressing patient needs effectively

Leadership & Decision-Making: Makes thoughtful, well-reasoned decisions; demonstrates resourcefulness and creativity in problem-solving

Initiative & Flexibility: Takes initiative by seeking additional responsibilities; identifies problems and proposes solutions; adapts well to new challenges and unexpected changes

Knowledge & Expertise: Possesses a strong understanding of the information, processes, and procedures necessary to perform the role effectively

Technical Capabilities: Performs job responsibilities with attention to detail, consistency, productivity, and efficiency, in alignment with company and industry standards

Digital Dentistry: Demonstrates knowledge of digital equipment and software used in the practice, including Open Dental, Primescan, Overjet, and others

High school diploma or equivalent