About Us:
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.
Position Summery
- The Dental Insurance Specialist will be responsible for the overall AR claim follow up.
Duties & Responsibilities:
- Review, and transmit claims using electronic and manual (paper) methods.
- Review patient bills for accuracy and completeness; obtain missing information as needed.
- Identify and bill secondary or tertiary insurances.
- Knowledge and ability to correct Medicaid claims via appropriate portal or DDE.
- Identify opportunities to streamline billing process by analyzing frequent or repeated claim edits/errors.
- Other duties as assigned.
REQUIREMENTS:
- High School Diploma or GED equivalent
- Courses in Insurance Dental Billing and Dental terminology preferred
- 1+ year of Dental aging follow-up experience, including familiarity with third-party healthcare claims.
- Dentrix experience preferred
- Knowledge of revenue cycle process
- Strong understanding of Dental terminology
- Intermediate mathematics skills (calculating charges, co-payments, deductibles, and reconciling financial data)
- Strong attention to detail
- Strong written and verbal communication skills
- Ability to multitask to ensure timeliness of all deliverables
- Familiarity with insurance carrier claims resolution
- Proficiency with MS Office (Word, Excel, Power Point)
- Ability to work effectively in a remote environment
PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.