Accounts Receivable Specialist (Remote)

North American Dental Group • Pittsburgh, PA

13d • Remote

About The Position

NADG is seeking a remote Revenue Cycle Specialist to join its Revenue Cycle Team. The position supports dental revenue-cycle operations in a high-volume environment and is cross-trained across revenue-cycle functions. The work includes processing claims, posting and reconciling payments, resolving rejected or denied claims, managing follow-up and collections, maintaining accurate account ledgers, and responding to patient billing questions. The specialist also researches payment and account discrepancies, verifies insurance benefits, and supports compliant claim submission and appeals.

Requirements

• High school diploma or equivalent.
• At least 3–5 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, mathematics, and problem-solving skills.
• Data-entry skills and ability to use a 10-key keypad by touch.
• Strong interpersonal and organizational skills.
• Ability to work both as part of a team and as an individual contributor.
• Attention to detail and strong analytical skills.

Responsibilities

• Process dental claims to support appropriate and timely coding, billing, and insurance collections.
• Post payments manually and electronically for payors and patient accounts, including cash balancing and bank-deposit reconciliation.
• Post payment corrections, payment transfers, and non-sufficient funds (NSF) items.
• Research and clear unapplied accounts using established identification processes.
• Process insurance rejections and denials, and post information for collection and follow-up activity.
• Conduct account follow-up and collections, including phone calls and use of payer websites.
• Identify recurring issues or trends and suggest resolutions.
• Document collection activity accurately and thoroughly.
• Review account information and system applications to determine appropriate next actions.
• Investigate and resolve rejected or denied insurance claims, verify claim adjudication, and use appropriate resources and applications.
• Perform billing functions, including manual rebilling and electronic claim submission.
• Edit claims to meet billing-compliance guidelines for electronic submission.
• Initiate appeals and submit required supporting documentation.
• Answer patient billing questions and serve as a resource for billing inquiries.
• Maintain ledger accuracy and account integrity, including correcting insurance accounts receivable and payment-posting errors.
• Research payor recoupments, identify errors or opportunities to dispute them, and seek to restore lost revenue.
• Research and validate patient refunds.
• Verify insurance benefits using websites, fax, and phone.
• Review patient accounts, conduct audits, review aging accounts receivable and unapplied adjustments, resolve credit balances, and address unposted payments or other discrepancies.
• Research and follow up on correspondence associated with assigned accounts.
• Perform other duties and responsibilities as assigned by leadership.

Benefits

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

What This Job Offers

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