Accounts Receivable Specialist (Remote)

North American Dental Group • Pittsburgh, PA

1d • Remote

About The Position

NADG is seeking a remote Revenue Cycle Specialist to join its Revenue Cycle Team. The role works across revenue cycle functions in a high-volume environment, supporting timely and accurate dental claim processing, billing, collections, payment posting, and account reconciliation. The specialist also follows up on insurance denials and appeals, answers patient billing questions, researches account discrepancies and recoupments, and helps maintain ledger accuracy and account integrity.

Requirements

• High school diploma or equivalent.
• Three to five years of dental or medical experience.
• Prior experience with dental office workflows and revenue cycle functions, including scheduling, registration, insurance verification, fee schedules, claim submission, charging and coding requirements, insurance accounts receivable follow-up, and payment posting.
• Experience with practice management software, insurance portals, clearinghouses, insurance guidelines, and banking reconciliation software.
• Intermediate PC skills, including strong Microsoft Excel skills.
• Strong computer literacy, math, and problem-solving skills.
• Data entry and 10-key skills by touch.
• Strong interpersonal and organizational skills.
• Ability to work in a team setting and as an individual contributor.
• Attention to detail and strong analytical skills.

Responsibilities

• Process dental claims to support appropriate and timely coding, billing, and collections.
• Post payments manually and electronically for payors and patient accounts, including balancing cash and reconciling bank deposits.
• Post payment corrections, payment transfers, and non-sufficient funds (NSF) transactions.
• Research and clear unapplied accounts using established identification processes.
• Process insurance rejections and denials, and post information for collection and follow-up activity.
• Conduct collections and account follow-up, including making phone calls and accessing payer websites; identify trends or issues and suggest resolutions.
• Document collection activity accurately and determine the next appropriate account activity using account information and system applications.
• Investigate and resolve rejected or denied insurance claims, verifying adjudication using appropriate resources and applications.
• Perform billing functions, including manual rebilling and electronic payer submissions; edit claims to meet electronic billing compliance guidelines.
• Initiate appeals and ensure required documentation is submitted.
• Answer patient billing questions and serve as a resource for patients.
• Maintain ledger accuracy and account integrity.
• Analyze and correct insurance accounts receivable, payment posting ledgers, and posting errors.
• Research payor recoupments, identify errors or dispute opportunities, and work to restore lost revenue; research and validate patient refunds.
• Verify insurance benefits using websites, fax, and phone.
• Review patient accounts, correct discrepancies, and conduct account audits, aging AR review, unapplied adjustment review, credit balance resolution, and unposted payment research.
• Research and follow up on correspondence associated with assigned accounts.
• Perform other duties and responsibilities as assigned by leadership.

Benefits

• Comprehensive benefits package including 401(k).
• Paid time off for full-time and part-time team members, increasing with career growth.
• Career growth opportunities and continuing education.
• Professional and flexible atmosphere that supports freedom and individuality.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED