Refresh Dental · 1 day ago
Accounts Receivable Specialist (Remote)
United States
Full-time
Remote
Mid Level
3+ years expRefresh Dental is part of North American Dental Group, a rapidly growing dental services organization in the United States. They are seeking a Revenue Cycle Specialist to manage dental claims processing, follow-up, and collections in a high-volume environment.
DentalHealth CareHospital
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
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
Benefits
A comprehensive benefits package including 401k
Competitive paid time off for full-time and part-time team members which increases as you grow in your career with us
Constant opportunities for career growth and continuing education
A professional and flexible atmosphere that allows for freedom and individuality – enabling our team to always strive to do what’s best for the patient
Company
Refresh Dental
Refresh Dental is a dental organization company.
201-500 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase