Dental Billing & A/R Specialist - Revenue Cycle Management (RCM)

American Dental Companies•Phoenix, AZ

28d•Onsite

About The Position

American Dental Companies (ADC) empowers premier dental practices across the nation by providing world-class administrative, operational, and financial support. The Revenue Cycle Management (RCM) team, based at the Central Support Center in Phoenix, acts as the financial engine for ADC's expanding network of partner practices. This role involves managing insurance claims and contributing to an engaging, on-site team that values operational precision, collaborative culture, and professional growth.

Requirements

Minimum of 18 months of hands-on Dental Billing and Collections / Insurance A/R experience (REQUIRED).
Ability to work 100% on-site at our Central Support Center in Phoenix, AZ.
Strong, foundational knowledge of dental insurance processes, claim adjudication, CDT coding, and payer requirements.
High School Diploma or GED equivalent.
Proven ability to interpret EOBs, ERAs, contractual adjustments, and reimbursement discrepancies.
Excellent written/verbal communication, problem-solving, and organizational skills.

Nice To Haves

Proficiency with Denticon practice management software and DentalXChange (Highly Preferred).
Prior experience working within a Dental Support Organization (DSO) or multi-location central support environment.
Post-secondary education, trade school training, or dental billing certifications.

Responsibilities

Manage assigned dental insurance accounts receivable.
Resolve complex claim denials.
Ensure timely reimbursement across the nationwide practice network.
Review Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) to identify unpaid, underpaid, or denied claims.
Investigate denial reasons and submit formal appeals, reconsiderations, and corrected claims within strict payer deadlines.
Monitor and respond promptly to practice and payer inquiries via Teams, email, and fax.
Utilize aged A/R reports to track, follow up on, and resolve insurance claims outstanding over 45 days.
Track and reconcile held vouchers, unbilled vouchers, and contractual adjustments.
Identify and report recurring denial trends or systemic billing issues to RCM leadership.
Build and maintain productive relationships with assigned insurance carriers, provider representatives, and internal support departments.
Serve as a trusted resource for practice leadership and operational staff regarding insurance claim status and reimbursement inquiries.
Maintain strict adherence to HIPAA guidelines, payer regulations, and company policies.
Accurately document all account notes and claim follow-up activity in practice management software.