[Hiring] Accounts Receivable Specialist @North American Dental Group

Role Description

The Revenue Cycle Specialist is well versed and cross-trained in all areas of the revenue cycle and accustomed to working in a high-volume environment. Key Responsibilities include:

• Processing dental claims for payment by insurance companies to ensure appropriate and timely coding, billing, and collections.
• Performing manual and electronic posting functions for all payors/patient accounts, including cash balancing and reconciliation of bank deposits.
• Posting payment corrections, payment transfers, and NSF’s.
• Researching and clearing unapplied accounts using established identification functions/process.
• Maintaining knowledge of insurance rejections/denial processing and appropriately posting information for collection and follow-up activity.
• Responsible for all aspects of follow-up and collections, including making phone calls and accessing payer websites. Identifying issues or trending and providing suggestions for resolution.
• Accurately and thoroughly documenting the pertinent collection activity performed. Reviewing the account information and necessary system applications to determine the next appropriate work activity.
• Reviewing, investigating, and resolving claims that have been rejected or denied by insurance. Verifying claims adjudication utilizing appropriate resources and applications.
• Performing appropriate billing functions, including manual re-bills as well as electronic submission to payers. Editing claims to meet and satisfy billing compliance guidelines for electronic claim submission.
• Initiating appeals and ensuring all required documentation is submitted in the appeal process.
• Answering patient billing questions and acting as a resource for patient billing questions.
• Ensuring ledger accuracy and account integrity.
• Analyzing and correcting insurance account receivable and payment posting ledger and posting errors.
• Thoroughly researching all payor recoupments and identifying errors and/or opportunities to dispute and restore loss in revenue. Researching and validating 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.
• Researching and following up on all correspondence associated with assigned accounts.
• Other duties and responsibilities as assigned by leadership.

Qualifications

• 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 Description

NADG is the fastest growing dental services organization of scale in the United States and today consists of a network of over 240+ dental practices in 15 states and 25 regional markets, and recently have become the first Transatlantic Dental Service Group! Our entrepreneurial culture and maniacal focus on patient care serve as a great platform to become an innovative and dynamic industry leader.