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North American Dental Group (NADG) · 1 day ago

Patient A/R Specialist

Pittsburgh, PA

Full-time

Onsite

Senior Level

5+ years exp

North American Dental Group is looking for a personable, self-motivated, detail-oriented Patient A/R Specialist. This role will manage patient collections and ensure quality in all processes related to Patient AR accuracy.

DentalHealth CareInsuranceMarketing

Responsibilities

Monitor and maintain quality in throughout all processes and functions pertaining to the Patient AR team

Operate synchronously with Revenue Cycle and clinical operations to ensure accurate and timely patient account follow up

Communicate as needed with the operations team regarding accounts eligible for collection, balance inquiries, writing off balances to bad debt, and fielding disputes

Document, and present summaries of accounts sent to collections to the Patient Accounts Receivable Manager

Interact with third party vendor contacts, Revenue Cycle teams and other departments as necessary regarding the patient account collection status and balances

Review requests for refund to patients, to either approve or decline the proposed refund

Upon approved refund apply appropriate adjustments into the patient's account

Manage identification and communication regarding patient accounts eligible for collections

Review and transfer of debts to the collections agency and writing off the patient account balances

Field intercompany questions pertaining to the collection agency disputes and account reviews

Manage inflow, review, approval, and processing of patient refund requests

Review, investigate and process escalations from the field as it pertains to patient account balance discrepancies

Account review to identify and correct EOB and posting errors that could result in revenue leakage, fee schedule/insurance plan inaccuracies, incorrect compensation to providers

Document and report on trends in avoidance-related findings as it related to patient balance reviews and collections

Handling of accounts with aging credit balances and follow proper unclaimed fund protocols in accordance with state law

Work directly with various departments including but not limited to internal rev cycle teams, office staff, clinicians, and external vendors

Work independently with limited supervision to initiate and manage various functions and meet deadlines

Demonstrate exemplary customer service to our Providers and office staff

Qualification

Healthcare revenue cycle managementPatient collectionsInsurance models knowledgeThird party vendor managementAttention to detailCommunication skillsOrganizational skillsTime management skillsProblem-solving skills

Required

High School Diploma or equivalent

5 years' experience preferred in healthcare revenue cycle management with at least 3 of those years' experience in Dentistry

Experience handling patient AR balances and collection processes

Experience in third party vendor management

Proficient knowledge of insurance models (Ie - PPO, State funded, DHMO) and billing regulations

Strong written and verbal communication skills to communicate in clear, concise terms

Good communication skills - written, telephone, and email

Attention to detail, good computer skills - MS, Word, Excel, PowerPoint

Must have high level of interpersonal skills to handle sensitive and confidential situations

Have strong organizational and time management skills

Knowledge of organization's policies, procedures and systems

Ability to work effectively in a fast paced, high volume environment

Demonstrate ethical problem-solving skills and initiative

Benefits

A comprehensive benefits package including 401k

2 weeks of paid time off for full-time associates which increases up to 5 weeks 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