[Hiring] Revenue Cycle Specialist @Guardian Dentistry Partners

Role Description

We are looking for a dynamic, experienced Revenue Cycle Specialist to join our fast-growing dental partnership network (“DPN”)!

Reporting to the Revenue Cycle Manager and Vice President of Insurance Operations and Revenue Cycle Management, the Revenue Cycle Specialist (RCS) is responsible for:

• Reviewing and resolving outstanding insurance claims in multiple dental offices.
• Identifying areas of opportunity to decrease aging and boost collections for training or other recommendations in the office’s current revenue cycle processes.
• Following up on assigned outstanding claims utilizing high-level problem-solving.
• Consistently meeting daily goals and project deadlines.
• Establishing and maintaining strong relationships with partner offices and various leaders in the organization.
• Working closely with the Revenue Cycle Manager to provide revenue cycle support aligned with the Company’s core values.
• Ensuring adherence to the Company’s internal control process and policies.

Qualifications

• General understanding of dental revenue cycle management functions, with a strong focus on insurance claims follow-up and denials.
• Minimum of 3-5 years’ experience in a revenue cycle specialist and/or similar experience.
• Minimum of 5 years in dental insurance & billing and/or similar experience.
• Familiarity with various practice management software, like Denticon, Dentrix, Eaglesoft, OpenDental, Practiceworks, PlanetDDS, Curve, etc.
• Demonstrate team and inter-departmental collaboration.
• Demonstrate strong time management abilities.
• Detail-oriented, with strong research and analysis skills.
• High level of proficiency in written and oral communications.
• Thrive in a fast-paced environment, including flexibility in priorities and scheduling.
• Adaptability – responding quickly to changes and adjusting initiatives and priorities accordingly.
• Solid organization skills, with the ability to track and weigh multiple priorities at once to ensure more efficient and effective time management.
• Advanced computer skills, including Microsoft Outlook, Word, Excel, and PowerPoint.

Requirements

• Work assigned outstanding insurance claims for follow-up resolution and cleaning up of aging balances for one or more dental offices at a time.
• Perform proper insurance claims submission with payers to ensure timely processing of claims and maximized insurance payments.
• Identify areas of opportunity and prepare solutions to improve RCM KPI’s, including collections %, AR days, % of aging past-due.
• Execute projects on time according to project deadlines, effectively communicating progress and trends.
• Interact with individuals at all levels of the company as well as external vendors.
• Contribute to overall company programs and projects, communication cascade and process improvement.
• Handle confidential business matters.
• Recommend work process improvements.
• Anticipate needs of senior leadership and respond proactively to those needs.
• Work independently or on a team for special assignments.

Benefits

• Salary range of 35K - 50K D.O.E.
• Competitive health, dental, vision, long-term and short-term disability, and life insurance plans.
• Participation in a 401 (k) plan with company match.
• Remote workforce model & flexible schedule.
• The opportunity to engage in a values-based organization where all 2000+ (and growing) team members strive to exemplify our core values every day.