Revenue Cycle and Credentialing Specialist

Revenue Cycle & Credentialing Specialist -- ICON Dental Partners -- Fully Remote, Full Time Work anywhere in the United States as long as you have a dedicated private workspace and high-speed Wi-Fi! ICON Dental Partners is seeking an experienced Revenue Cycle & Credentialing Specialist to join our fully remote Revenue Cycle Department. The Revenue Cycle & Credentialing Specialist supports the revenue management side of the business by supporting the activities related to the billing, collecting, and posting processes as well as supporting doctor credentialing needs. This individual ensures that all functions in the areas of responsibility are performed in a consistent manner to maximize cash flows and minimize days outstanding in accounts receivable and to ensure doctors are fully credentialed in all applicable plans. Skill Set of the Revenue Cycle & Credentialing Specialist: Core Technical Skills: Insurance claims and EOB interpretation Dental coding knowledge (CDT codes, frequency limits, bundling/downcoding, documentation requirements) AR management (aged bucket follow-up, prioritization, timely filing, appeals/resubmission/write-off decisions) Payment posting and reconciliation (ERAs, deposits, misapplied payments, credit balances) Eligibility and benefits verification (deductibles, maximums, waiting periods, missing-tooth clauses, COB) Systems and Data Skills: Dental Practice management software experience (Dentrix, Ascend, Eaglesoft, Open Dental, CareStack, etc.) Pulling reports from multiple DPMS platforms (Dentrix, Ascend, Open Dental, Eaglesoft, CareStack, etc.) and standardizing the output Building recurring reports (weekly AR, monthly collections scorecards, credentialing status) Clearinghouse and payor portal navigation (Availity, DentalXChange, Delta, MetLife, Cigna) Google & Office 365 proficiency (Sheets, Docs, Excel, Word, Gmail, Drive) Project Management and Communication (Slack, Monday.com) Credentialing Skills: CAQH and DentalHub registration/Navigation Payor enrollment applications Understanding of TIN/NPI/group number relationships Effective-date tracking and follow-up discipline Responsibilities of the Revenue Cycle & Credentialing Specialist: Supports the overall policies, objectives, and initiatives of the organization’s revenue cycle activities to optimize the patient financial interaction along the care continuum. Works in connection with partner practices to ensure fee schedules are properly maintained and up to date. Audits to ensure insurance companies are paying in compliance with the contract. Monitor accounts receivable and provide support for collections activities. Provides RCM support to the regional leadership team when requested. Works to solve dental claims denials in partnership with partner practices. Credentials existing and new doctors in desired insurance plans. Works with various team members and doctors to collect required credentialing documentation. Complete various projects as assigned. This is not an all-inclusive list, other duties may be required as assigned by the Manager. Qualifications for the Revenue Cycle & Credentialing Specialist: Associate’s degree in healthcare management, finance, business administration or a related field or 5+ years of experience in a revenue cycle/credentialing role in the dental industry. Experience in dental claims processing including Medicare. Experience in dental claims processing for medical claims, i.e. oral surgery. Strong team-work-oriented individual who can function as part of an overall team or work on projects alone. Advanced skills in Excel, dental practice management systems, and accounting-related software. Experience with DPMS: Dentrix, Dentrix Ascend, Eaglesoft, Open dental, Care Stack, etc. Preferred Certification: CDC, CDBS, CPC, or DCBS is a plus! Servant leadership mindset with excellent customer service skills. The desire to help others and provide RCM services support to partner offices and doctors of ICON Dental Partners. Skills for interacting with and communicating with the team. Ethical individual with high integrity for always doing the right thing Competitive compensation of $24 - $28.84/hr and full health, pto/sick, and wellness benefits package! Who We Are: ICON Dental Partners is a different type of DSO, in fact, we are a Dental Partnership Organization! We partner with doctors to provide assistance with non-clinical aspects of running their business. We are doctor owned and led. Our support team works all over the United States in a virtual/home office environment. Our team is driven by our set of core values and the desire to serve and work with our partners. We have a lot of fun but we also work hard. We value individuality and provide a supportive culture where people can be themselves, where good work is recognized and appreciated, and where professional and personal growth is central to our belief system. If you are looking for a new work home and meet the above qualifications, we'd love to meet you!