[Remote] Accounts Receivable Specialist (Remote)

Note: The job is a remote job and is open to candidates in USA. North American Dental Group is hiring a Revenue Cycle Specialist to support its dental practices’ revenue cycle operations. The role processes claims and payments, manages insurance follow-up and collections, resolves account discrepancies, and answers patient billing questions.

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

Skills

• 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 Overview

Company H1B Sponsorship